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Chronic Care Management

An estimated 117 million adults have one or more chronic health conditions, and one in four adults have two or more chronic health conditions. These patients require additional time and resources from their health care team to coordinate their care effectively.

Beginning in 2015 Chronic Care Management (CCM) payments could be received from Medicare for services furnished to patients with two or more chronic conditions needing additional care coordination from their care team. To recognize the costs of providing these services to Medicare and dual-eligible patients managing multiple chronic conditions, Medicare adopted three additional codes that recognize additional costs, including those related to more complex medical management beginning January 1, 2017.

CCM is a critical component of care that contributes to better health outcomes and well-being for individuals with multiple chronic conditions and builds patient loyalty and trust in their care team. CCM offers more centralized management of patient needs and extensive care coordination among clinicians, thereby reducing hassles for clinicians, patients and caregivers. Clinicians are already coordinating care and CCM enables reimbursement for their time coordinating care for Medicare fee-for-service (Part B) patients.

CCM Implementation Guide

A comprehensive Chronic Care Management (CCM) program encompasses multiple facets of a clinical practice from a designated care manager under a single health provider to effective ways to monitor and capture time spent on non-face-to-face coordination services through accurate coding and billing. This implementation guide breaks it all down and will help your practice to create and refine your CCM program.