Care Management / Care Coordination solutions and MACRA / QPP Consultants to maximize value based care reimbursements

CareVitality provides QPP Consultants and Care Management / Care Coordination services and solutions to help you meet the requirements for CCM, Complex CCM, TCM, AWVs, MACRA/QPP, and more.

Ambulatory leader in Healthcare IT and Chronic Care Management Services with over 7 years of experience in ambulatory healthcare IT and assisting providers to become successful in the various incentive programs (MU, PQRS, and VBM).

CareVitality takes this experience to lead you on a successful road map to participate in the Quality Payment Program / MACRA.

CareVitality bridges the care management and technology gaps with the new cost and quality program initiatives to help practices successfully transform towards value-based care.

CareVitality optimizes your existing technology to document CCM services in your existing EHR and provides 24/7/365 nursing services.
CareVitality provides the most comprehensive care management solutions and additional Healthcare IT consulting to help put you on a successful road map to participating in value-based care under MACRA/Quality Payment Program (QPP/MIPS/APM).

CareVitality Services Include:

  1. Maximum Medicare reimbursement for Chronic Care Management (CPT Code 99490, 99487, 99489, G0506 and G0505)
  2. Support your Transitional Care Management and Annual Wellness Visits efforts
  3. Make effective use of upfront care management fees for CPC+ with our assitance
  4. Support all performance categories and their respective measures under the Merit-based Incentive Payment System (MIPS)
  5. Assist you in achieving positive payment adjustments through Medicare’s value-based care initiatives
  6. Prepare healthcare organizations for the shift from fee-for-service to value-based care

CareVitality’s licensed clinical team and healthcare IT consultants perform the required services for you to improve your patient outcomes and increase the wealth of your practice leading you to be successful in providing value-based healthcare.

CareVitality’s Turnkey CCM Offering

Patient Identification

Patient Identification

Using our sophisticated software tool along with reports from your EHR, we identify all of your Qualifying CCM Patients.

Patient Outreach

Patient Outreach

We engage your qualifying CCM patients to educate them about the value of the program and if necessary schedule their next office visit in order to gain consent.

We Provide Assistance With Setup

We Provide Assistance With Setup

We work with Providers and their System Administrators to get user access to their EHR/PM and Patient Portal Systems and set up the phone tree so patients can have direct access to their CCM Clinical Care Manager.

We Train Your Staff

We Train Your Staff

We train your staff on how to identify CCM patients and educate them on how to engage CCM patients.

Customization Of Your EHR

Customization Of Your EHR

We have experience working on over 150 EHRs, we determine if your system needs to have customized templates created and then develop them to meet the CCM program requirements.

We Develop The Comprehensive Care Plan

We Develop The Comprehensive Care Plan

We do the work for you, we develop the Comprehensive Care Plans based on the conditions of the patient and have the provide sign off on it.

We Begin Patient Engagement

We Begin Patient Engagement

After implementation our Clinical Care Managers begin the CCM services by engaging with the CCM patients to provide the required guidance and oversight of their Care Plan.

We Manage & Monitor The CCM Patients Care

We Manage & Monitor The CCM Patients Care

As the condition of the patient changes, we change their care plan if necessary to provide an accurate continuum of care, each change must be signed off on by the CCM provider.

We Facilitate Care Transitions

We Facilitate Care Transitions

We communicate with CCM patients, their CCM providers and other providers responsible for the patient’s care, we manage their care transitions between other setting and other providers and ensure that becomes part of their patient chart.

We Document Our Work

We Document Our Work

All communications are documented within the CCM templates in your EHR and housed within the patients electronic patient record for your continued access and review.

We Provide Auditable Reports

We Provide Auditable Reports

At the end of each month, we provide your staff with an auditable report of the work completed by our Clinical Care Managers so you can easily bill the 99490 code for your CCM patients.

Chronic Care Management (CCM) Revenue Calculators

Improve Patient Care and Achieve Value-Based Care Reimbursements.

Our Primary Care and Specialist CCM Revenue Calculators below allows you to see how CMS is willing to reimburse providers for providing chronic care management services.  If you enter the numbers appropriate to your Medicare patient population you can see what you are eligible to be reimbursed per your local.

Please fill out the contact form below to learn about complex CCM and additional updates for 2017 billing.

Family Practitioner CCM Revenue Calculator

Calculator
Description Your Value
Annual number of unique patients (U.S. average per family medicine provider: 32791)
Percent of patients covered by Medicare (U.S. average: 21.85%1)
Annual number of unique Medicare patients
% Patients Consent for CCM Services (U.S Average 40%) (CareVitality Client Average 75%)
Annual number of unique CCM patients
CCM monthly payment (U.S. average: $43) or select your locality below
Estimated annual CCM reimbursement for family medicine physician

Specialist CCM Revenue Calculator

Calculator
Description Your Value
Annual number of unique Medicare patients
% Patients Consent for CCM Services (U.S Average 40%) (CareVitality Client Average 75%)
Annual number of unique CCM patients
CCM monthly payment (U.S. average: $43) or select your locality below
Estimated annual CCM reimbursement for a speciality provider

1Per the MGMA Cost Survey for Single Specialty Practices: 2013 Report Based on 2012 Data specific to the specialty of family medicine. Includes Medicare A/B and Medicare Advantage.
2CMS.gov – County Level Multiple Chronic Conditions (MCC) Table: 2012 Prevalence, National Average.
3Reimbursement amount from the CY 2015 Physician Fee Service Final Rule, October 31, 2014, averaged across 89 localities.

Learn How CareVitality Can Make a Difference for Your Organization

Let us know how to reach you or call us at 800-376-0212

CCM Patient Testimonials

Even if I have to pay a coinsurance I want this program because it is exactly what I need to feel better about my health conditions and enjoy life more.

Maria

This program is perfect for me because I live alone and it is reassuring to have someone that checks on me and cares about my health.

Sophia

CCM Offering Brochure

The Centers for Medicare & Medicaid Services (CMS) recognizes care management as a critical component of primary care that contributes to better health and care for individuals, as well as reduced spending.

REQUEST BROCHURE
Care Vitality - Your Trusted Healthcare Partner