Benefits of Hicare RPM
" 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." --CMS definition of CCM
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.
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
Hypertension
Diabetes
Asthma
Cancer
Congestive Heart Failure (CHF)
Chronic obstructive pulmonary disease (COPD)
Obesity
Post Discharge IVR
Wellness
Health Education
Medication Reconciliation & Optimization
Mental Health
CCM Reimbursement
With new Medicare reimbursement and improvements in device technologies, Hicare CCM can provide optimized resources, software and devices that are right for your patients. Reduce hospital readmissions and improve patient compliance and outcomes.
Payment Code
Description
Payment Estimate
99453
One-time initial set-up of technology and patient education (patient onboarding component) Have to measure more than 16 days out of 30 days
$17.77/
One-Time
99454
Device supply with daily recordings, programmed alerts transmission, monthly (RPM Technology component) Have to measure more than 16 days out of 30 days
$58.92
Per Month
99457
Collection, interpretation of physiologic data, initial 20 minutes per month requiring interactive communication with patient by the physician, QHPs, and other clinical staff (clinical service component)
$44.84
Per Month
99458
Collection, interpretation of physiologic data, two (2) additional 20 minutes per month requiring interactive communication with patient by the physician, QHPs, and other clinical staff (clinical service component)
$35.59
Per Month
Basic CCM Billing
Hicare CCM creates Significant Additional Revenue for your clinic with no upfront cost.
Monthly
CCM monitoring
(Initial 20min)
99490
CCM monitoring
(Additional 20min)
99439
CCM monitoring
(Additional 20min)
99439
+ 20 min
+ 20 min
| Monthly Reimbursement & cost | Revenue |
|---|---|
|
Reimbursement/Payment for CPTs
99454, 99457 & 99458 |
$160 |
|
Hicare Platform & Equipment Cost |
($0) |
|
RPM Monitoring Services Cost |
($0) |
|
Provider's Net Revenue (per patient) |
$100 / Month |
| Number of Patient | Year One |
|---|---|
|
500 patients |
$600,000 |
|
1000 patients |
$1,200,000 |
|
2000 patients |
$2,400,000 |