Understanding
Chronic Care Management

Understanding
Chronic Care Management

What exactly is Chronic Care Management (CCM)?

In January of 2015, Medicare began paying providers under the CPT code 99490clinical staff time directed by a physician or other Qualified Health Care Provider (QHCP) for minimum of 20 minutes monthly of non face-to-face care coordination services delivered by a qualified healthcare professional for eligible patients.

CMS Defines an Eligible Provider as

Physicians

Advanced Practice Nurses

Clinical Nurse Specialists

Physician Assistants

Did You Know?

Chronic Conditions Account for

%

Hospital Admissions

%

Prescriptions Filled

%

Physicians Visits

CMS Defines an Eligible Patient as a

Medicare Benefactor

Anyone over the age of 65 that is eligible for this Government program.

Has Multiple Chronic Conditions

Chronic conditions expected to last at least 12 months, or until death.

High Risk

The patient is at significant risk of functional decline, or risk of death.

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