Medicare CCM Services CCM Solutions for Providers

CCM Solutions/Services for Providers

A comprehensive Telehealth platform to be used for CCM to bridge telehealth gaps in your practice. Additionally, our Care Team will supplement your existing team to provide turnkey telehealth services for your patients in our platform or your platform.

Variety of Care Management Offerings

CareVitality offers the Most Integrated Comprehensive Care Management SaaS platform (utilizing AI) and we can provide care management services in our platform or yours.

Our platform can be used as a complete platform or by module(s) to bridge care gaps in an organization as follows:

Chronic Care Management (CCM)
Principal Care Management (Specialty Care) (PCM)
Behavioral Health Integration (BHI)
Wellness Visits / Health Risk Assessments (AWV, IPPE, HRA)
Transitional Care Management (TCM)
Remote Patient Monitoring (RPM)
General Care Management (GCM)

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The 4 models CareVitality offers

Utilize CareVitality’s platform and care team
Utilize CareVitality’s platform and your care team as well as ours
Utilize your own platform & CareVitality’s care team
License CareVitality’s platform

Add Chronic Care Management to Enhance Care and Increase Revenue at Your Practice

No upfront fees required. You can pay us a fixed fee for utilizing CareVitality’s software platform and/or care team once you are paid. CareVitality’s solutions help you improve outcomes for your patients while automatically capturing revenue once the scope of services are met to bill these services.

Get Paid For The Work You Are Already Doing – Up To $265 Per Patient Per Month.

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Our Turnkey CCM Offering

Use our chronic care management software platform to provide effective health care services for patients who need chronic care management services. Explore CareVitality’s offerings for remote patient care and increase your billing of ccm services.

Patient Identification

We assist with identifying all of your Qualifying CCM Patients.

Patient Outreach

CareVitality trains your staff/ provider(s) on how to gain consent of your qualifying CCM patients in the most effective manner. We help gain verbal consent for your ccm program, too.

We Provide Assistance With Setup

We can create a CCM template in your EHR, utilize an existing CCM module in your system or utilize our CCM product.

We Assume All Hiring

As part of our care management solution, CareVitality hires all W2 employees (including all the appropriate pre-employment checks). Your practice can also use your own staff to provide services, our care team or we can take a hybrid approach. Our care management solution is customizable to meet the needs of your practice.

Patient Engagement - The Care Management Solution

We provide continuous patient engagement to fulfill the time requirement and the full scope of services prior to billing CCM each month.

Comprehensive Care Plan for Care Management

We develop the Comprehensive Care Plans based on the chronic conditions of the patient and have the provider sign off on it.

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 settings and other providers and ensure that our chronic care management documentation becomes part of their patient chart.

Monitor Their Care

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

We Provide Auditable Reports

At the end of each month, we provide your staff with an auditable report of the chronic care management services completed by our Clinical Care Managers so you can easily bill the CPT Code 99490, CPT Code 99439, CPT Code 99487 and CPT Code 99489 for your CCM patients.

CCM Documentation in Your EHR

Our CCM documentation is saved within the patients’ electronic health record in your EHR for your continued access and review.

Payment Is Simple.

CareVitality is Paid on Performance and Completely at Risk.We are paid a flat fee at the end of the following month that Medicare services are rendered, which at this time you should be paid by Medicare and you keep the rest of the billed amount as profit.

CareVitality's Compliance Team

CareVitality’s Compliance Team reviews the CCM monthly report prior to being sent for payment to ensure not only the time element but the full scope of service is met.

CCM Audit Proof Platform

CareVitality’s CCM platform has been developed to ensure the full scope of service is met prior to a claim being processed based on the time met. In addition, there are more features built within the platform to make sure you are compliant in all areas of providing CCM services with the most up-to-date care plan that can be discussed further.

CCM Audit Assistance

We are experienced with audits for Medicare CCM Programs and will assist you with any random CCM audits.

What Are the Chronic Care Management CPT Codes?

Chronic care management services meeting the required scope of service for at least 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month, with the following required elements:

Multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient.
Chronic conditions place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline.
Comprehensive care plan established, implemented, revised, or monitored.

(Avg. Reimbursement $62.58)

The CPT Code 99439 will pay for additional 20 minute increments CCM clinical staff time beyond the initial 20 minutes to be billed under CPT 99490. CPT Code 99439 can be billed a second time if 60 minutes or more time is spent within a given service period for a given beneficiary as long as the scope of service is met.

(Avg. Reimbursement $47.93)

Chronic care management services for at least 30 minutes of time by a physician or other qualified health care professional, per calendar month, meeting the required scope of service with the following required elements:

Multiple (2+) chronic conditions expected to last at least 12 months, or until the death of the patient
Chronic conditions place the patient at significant risk of death, functional decline or acute exacerbation/decompensation
Comprehensive care plan established, implemented, revised, or monitored

(Avg. Reimbursement $84.55)

Add on code to be billed with CPT code 99491 when an additional 30 minutes or more of chronic care management services time is spent and the required scope of service is given by a physician or other qualified health care professional, per calendar month.

(Avg. Reimbursement $59.59)

Complex CCM codes it requires medical decision making of moderate to high complexity and establishment, implementation, revision or monitoring of a comprehensive care plan.

(Avg. Reimbursement $134.15)

Once the time element for CPT Code 99487 is met and at least 90 minutes or more of CCM services is completed then CPT Code 99489 can be billed for each additional 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month.

(Avg. Reimbursement $72.23)

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Chronic Care Management Calculator

Calculator

Revenue Calculator	Your Value
Annual number of unique qualifying Medicare patients
% Patients Consent for CCM Services (U.S Average 40%) (CareVitality Average 80%)
Annual number of unique qualifying CCM patients*
Annual care planning payment $150 (average for patients billed 99487 & 99489)
CCM Annual payment (U.S. average CPT 99490: $62.58 /month) approx. 85% of billable CCM patients
CCM Annual payment for each additional 20 minutes beyond initial 39 minutes (U.S. average CPT 99439: $47.93/month) approx. 25% of billable CCM patients
Estimated annual CCM reimbursement for a primary care provider
Revenue Calculator	Your Value

Reimbursement amount from the CY 2024 Physician Fee Service Final Rule 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

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CCM Offering Brochure

Learn How CareVitality’s Turnkey Chronic Care Management (CCM) Offering contributes to better health and care for individuals, reduced spending, improved reimbursement and improved cost and quality scores under the Quality Payment Program.

Medicare's chronic care management program opportunities a benefits

CCM Solutions/Services for Providers

Variety of Care Management Offerings

The 4 models CareVitality offers

Our Turnkey CCM Offering

Patient Identification

Patient Outreach

We Provide Assistance With Setup

We Assume All Hiring

Patient Engagement - The Care Management Solution

Comprehensive Care Plan for Care Management

We Facilitate Care Transitions

Monitor Their Care

We Provide Auditable Reports

CCM Documentation in Your EHR

Payment Is Simple.

CareVitality's Compliance Team

CCM Audit Proof Platform

CCM Audit Assistance

What Are the Chronic Care Management CPT Codes?

Chronic Care Management Calculator

Learn How CareVitality Can Make a Difference for Your Organization

CCM Offering Brochure

Testimonials

Get In Touch

CCM Solutions/Services for Providers

Variety of Care Management Offerings

The 4 models CareVitality offers

Our Turnkey CCM Offering

Patient Identification

Patient Outreach

We Provide Assistance With Setup

We Assume All Hiring

Patient Engagement - The Care Management Solution

Comprehensive Care Plan for Care Management

We Facilitate Care Transitions

Monitor Their Care

We Provide Auditable Reports

CCM Documentation in Your EHR

Payment Is Simple.

CareVitality's Compliance Team

CCM Audit Proof Platform

CCM Audit Assistance

What Are the Chronic Care Management CPT Codes?

Chronic Care Management Calculator

CCM WHITE PAPER REQUEST

Learn How CareVitality Can Make a Difference for Your Organization

CCM Offering Brochure

CCM BROCHURE REQUEST

Testimonials

Get In Touch