The Centers for Medicare and Medicaid (CMS) created the original CPT code 99490 to pay providers for delivering non-face-to-face care to Medicare patients with two or more chronic conditions. Physician practices can bill CMS directly for these services, and can outsource these services to third-party providers if they choose. By providing CCM services, you can help patients stay healthier and avoid unnecessary hospitalizations while generating significant recurring revenue streams.
The original CPT Code 99490 allows eligible practitioners and suppliers to bill $42 for at least 20 minutes of non-face-to-face clinical staff time each month to coordinate care for patients with two or more chronic conditions.
In addition to CPT code 99490, in 2017 CMS updated the Medicare CCM program and introduced three new billing codes. These three codes offer providers with further financial reimbursement opportunities for providing chronic care management services.
Ongoing Annual Wellness Visits (AWVs) can be provided once a year to focus on maintaining the beneficiary's overall health and managing their chronic conditions. HCPCS code G0439 requires a higher level of patient engagement through the creation of personalized prevention plans and rising risk identification of patients.
AviTracks-CM is designed to help you quickly implement your CCM services program and efficiently manage your patients:
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