CCM (Chronic Care Management)

What is CCM?

“Chronic Care Management (CCM) is a care coordination service done outside of the regular office visit for patients with multiple chronic conditions expected to last at least 12 months or until the death of the patient, and that place the patient at significant risk of death, acute exacerbations/decompensation, or functional decline. These services are typically non-face-to-face and allow eligible practitioners to bill for at least 20 minutes or more of care coordination services per month.”

More than 60% of Americans suffer from at least one chronic disease and 40% of those are battling with two or more chronic diseases. Chronic care management (CCM) can dramatically help them sustain better health.

Chronic Care Management (CCM) is a critical component of healthcare that can help to improve health outcomes and overall quality of life for your patient. Hicare Care Team will provide centralized management of your patient’s healthcare needs and care coordination. Under the supervision of a Qualified Health Professional (QHP), our Care Team will follow a personalized care plan for each patient.

Benefits of Hicare CCM

Hicare provides customized management of your patient’s healthcare needs and care coordination. From identifying candidates from your EHR to supporting billing reports for reimbursements, Hicare provides holistic care management services using our state-of-the-art platform, robust patient care management, and clinically proven devices.

Hicare CCM helps

Your Patients Get Better Outcomes and Create Additional Revenue for Your Practice

Chronic Care Management and Remote Patient Monitoring, Better Together.

By combining Chronic Care Management (CCM) services and the physiologic data received from Remote Patient Monitoring (RPM), providers can have a better insight into improving patient outcomes and intervene when needed.

Chronic Conditions Monitored

Alzheimer’s disease and related dementia

Arthritis (osteoarthritis and rheumatoid)

Asthma

Atrial fibrillation

Autism spectrum disorders

Cancer

Cardiovascular disease

Chronic Obstructive Pulmonary Disease (COPD)

Depression

Diabetes

Hypertension

Infectious diseases like HIV and AIDS

CCM Reimbursement

With new Medicare reimbursement and improvements in device technologies, Hicare CCM Reimbursement can provide optimized resources, software and devices that are right for your patients. Reduce hospital readmissions and improve patient compliance and outcomes.

CCM Code

Basic CCM

Complex CCM

Payment Code

Description

Payment Estimate

99490

Patients must have two or more chronic conditions that they expect to have for at least 12 months or indefinitely. At least 20 minutes of clinical staff time per calendar month

$64

per month

99439

Additional 20 minutes of clinical staff time per calendar month, up to two times.

$48

per month

99487

In addition to requirements under Basic CCM, for a patient to qualify as complex requires acknowledgment by both the provider and the patient
of an acute exacerbation. At least 60 minutes per calendar month.

$134

per month

99489

Each additional 30 minutes in a calendar month.

$71

per month

CPT code information is based on 2022 definitions / Payments are national averages, non-facility rates

Payment Code

Basic CCM

99490

Description

Patients must have two or more chronic conditions that they expect to have for at least 12 months or indefinitely. At least 20 minutes of clinical staff time per calendar month

Payment Estimate

$64

per month

Payment Code

Basic CCM

99439

Description

Additional 20 minutes of clinical staff time per calendar month, up to two times.

Payment Estimate

$48

per month

Payment Code

Complex CCM

99487

Description

In addition to requirements under Basic CCM, for a patient to qualify as complies requires acknowledgment by both the provider and the patient
of an acute exacerbation. At least 60 minutes per calendar month.

Payment Estimate

$134

per month

Payment Code

Complex CCM

99489

Description

Each additional 30 minutes in a calendar month.

Payment Estimate

$71

per month

CPT code information is based on 2022 definitions / Payments are national averages, non-facility rates

Basic CCM Billing

Hicare CCM creates Significant Additional Revenue for your clinic with no upfront cost.

Monthly

CCM monitoring

(Initial 20min)

99490

$64

CCM monitoring

(Additional 20min)

99439

$112

CCM monitoring

(Additional 20min)

99439

$160
+ 20 min
+ 20 min
+ 20 min
$160
$112
$64

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