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:
- Patient identification, enrollment, care plan creation, and ongoing care management
- Turnkey Services available at client’s request to utilize CareVitality’s Care Team
- Compliance built-in system to ensure all CCM requirements are met prior to billing
- Audit proof – Automated coding and billing
- Top notch cyber security embedded in the platform to keep your patient data secure
- No upfront costs. Payment is based on performance. We are paid once you are paid.
- Integration with existing Health IT platform(s) (ie EHR, Billing & Scheduling systems)
- Add-ons: Transitional Care, Principal Care, Remote Monitoring & Behavioral Health
- Patient identification, enrollment, care plan creation, and ongoing care management
- Turnkey Services available at client’s request to utilize CareVitality’s Care Team
- Compliance built-in system to ensure all CCM requirements are met prior to billing
- Audit proof – Automated coding and billing
- Top notch cyber security embedded in the platform to keep your patient data secure
- No upfront costs. Payment is based on performance. We are paid once you are paid.
- Integration with existing Health IT platform(s) (ie EHR, Billing & Scheduling systems)
- Add-ons: Transitional Care, Principal Care, Remote Monitoring & Behavioral Health
- 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)
- 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
What Are the Chronic Care Management CPT Codes?
- 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)
Since using CareVitality’s Virtual Care Management team we have not only increased revenue to our office from additional reimbursement for the CCM service codes but our MACRA/ MIPS score has increased due to the additional support they provide to help us improve our patients outcomes by providing these services in between their office visits or…
Working with CareVitality’s Care Management team has not disrupted our workflow and has improved the care we provide to our patients. They identify themselves as part of our practice and use a caller id with our practice name and phone number similar to our office to provide seamless services to our patients.
CareVitality’s Virtual Care Management team is well rounded in both medical, mental health and behavioral health services to complete comprehensive care plans to service our patients. The RNs we have worked with have had 30+ years of nursing experience and have been detailed in their work that when it comes to our providers to review…
CareVitaity’s Virtual Care Managers have helped us successfully implement our Chronic Care Management Program. Their detailed understanding of how to successfully launch a chronic care management program along with their Virtual Care Managers explaining to the patient the benefits of receiving chronic care management services coupled with putting together a comprehensive patient centric care plan…
We have used CareVitality for two years now to attest our MIPS/MACRA and they have done a great job! I would recommend them for any service they provide.
Care Vitality is an efficient Chronic Care Management company. Vanessa is very knowledgeable and the company provides conferencing and reports that will keep a Medical Practice up-to-date with the latest information from onboarding employees to CMS rules. I highly recommend Chronic Care Management for their efficiency, professionalism, and knowledge !!!
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