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.

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

$64
+ 20 min
$48
+ 20 min
$48
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

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