Chronic Care Management from Chronic Care Staffing benefits both patients and providers. Let our CCM Program provide your patients with the non face-to-face care they need between office visits.
About Chronic Care Staffing
About Chronic Care Staffing
Chronic Care Management (CPT 99490 / G0511)
Chronic Care Management (CCM) national reimbursement is $64.02. CCM requires twenty minutes of non face to face monthly activity on behalf of enrolled patients. Who’s eligible? Any Medicare and Medicare Advantage patient with two or more chronic conditions.
Behavioral Health Integration (CPT 99484)
Behavioral Health Integration (BHI) national reimbursement is $48.65. Monthly service guidelines are similar to CCM, including 20 minutes of non face to face activity on the patient’s behalf. Who’s eligible? Any Medicare and Medicare Advantage patient that has a mental, behavioral health, or psychiatric condition being treated by the billing practitioner, including substance use disorders, that, in the clinical judgment of the billing practitioner, warrants BHI services. The diagnosis or diagnoses could be either pre-existing or made by the billing practitioner and may be refined over time.
Annual Wellness Visit (G0438 & G0439)
Annual Wellness Visit (AWV) average reimbursement is $350 (with additional codes). This typically includes additional codes for patient assessments. AWV is service that includes a Health Risk Assessment and brief patient exam that helps providers keep current with their patients healthcare. All Medicare and Medicare Advantage patients are eligible for this annual service.
Let Chronic Care Staffing Maximize Your Value Based Care
The Centers for Medicare & Medicaid Services recognize Chronic Care Management (“CCM”) as a critical component of primary care that contributes to better health and care for individuals.
Increase Shared Savings For ACO’s
Our programs help build the foundation to improve Risk Assessment Factor (RAF) and Medication Reconciliation scores. CCM, BHI, and AWV improve outcomes and measures helping maximize shared savings reimbursement per Beneficiary per Month (PBPM).
Maximize MACRA Valuations and Value Based Coding
Our Care Coordinators help implement HEDIS (Quality and Outcome) measures chosen by the providers. Working directly in the practice EHR, CCS Care Coordinators chart quantifiable data that helps our clients MIPS score across the four categories of Quality, Advancing Care Information, Improvement Activities, and Cost.
Health Risk Assessment
The Health Risk Assessment (HRA) is performed as the first part of an Annual Wellness Visit (AWV). The HRA is a key component to Value Based Care. The HRA satisfies quality metrics that improve your patients overall attributed scores. The HRA in conjunction with the completion of the AWV can generate significant revenue for our clients.
Coordination of Care
We work with your providers to increase patient education and awareness using appointment reminders, by recognizing and reporting changes in patient health status, referral coordination, medication management and reconciliation, and transition of care coordination.
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Professionals
Our Executive Team
Patrick Dowd
National Sales Director
- Patrick has over 18 years of experience in healthcare and finance industries.
- He served as Managing Partner of a nationwide finance company.
Cas Danielowski
Founder & CEO
- Cas has over 30 years of experience in the healthcare industry
- He has founded multiple healthcare businesses and is also the CEO of Millenia Medical
Kathie Wilkinson, RN MSN
Clinical Director
- DON of 135 bed LTC Facility
- Over 20 yrs of Health Care Exp
- Quality Assurance Specialist
Elena Miles, CPA
CFO
- Elena has 28 years of experience as a CPA in the healthcare, insurance, and banking industries
- She has worked with Millenia Medical since 2010 and CCS since its inception
- Prior to joining Millenia, Elena worked as a senior accountant in public accounting and as an internal bank auditor
FAQ
Have Some Questions?
With regard to the Medicare Physician Fee Schedule (CPT 99490 / G0511), Chronic Care Management (also known as CCM) is the non face-to-face care for chronically ill patients that occurs between regular office visits in an effort to address many of the issues that prohibit a patient’s ability to manage their conditions. Chronically ill is defined as patients that have multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient.
Illnesses that are eligible for Chronic Care Management include, but are not limited to: Alzheimer’s disease and related dementia, Arthritis (osteoarthritis and rheumatoid), Asthma, Atrial fibrillation, Autism spectrum disorders, Cancer, Cardiovascular Disease, Chronic, Obstructive Pulmonary Disease, Depression, Diabetes, Hypertension, Infectious diseases such as HIV/AIDS.
Any medicare patient that has 2 or more chronic conditions is eligible for this program. Centers for Medicare and Medicaid Services (also known as CMS) guidelines simply require the patient to meet the following criteria: 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 inability to manage their symptoms or condition itself.
CCM services include at least 20 minutes of clinical staff time directed by a physician or other qualified healthcare professional, per calendar month, for each patient that has met eligibility requirements as detailed by Medicare. Eligibility requirements are defined as: 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. A comprehensive care plan must be established, implemented, revised, or monitored.
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FAQ
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