Chronic Care Management

Delivering Quality Care at Scale

Chronic care management can be a scalable undertaking. CCM mean checking in with your patients on a regular basis. Many health systems and medical groups do this by phone, monthly, if at all. Often this service is performed without associated reimbursement. Closing gaps in care is often achieved by increasing engagement and providing csre management services when outside the brick-n-mortar. The Home is a setting of care just as much as any health facility. Chronic Care Management has demonstrated the following results:

w

Increase engagement with patients



Improve patient satisfaction



Identify and close care gaps



Reduce urgent visits to the ER



Increase financial performance of your organization

GenieMDs success is based on an accelerated CCM rollout methodology, referred to as REALIZE:

STEP 1

Set Program Goals

STEP 2

Design Workflow

STEP 3

Team Training

STEP 4

Patient Enrollment

STEP 5

Program Management

The minimum qualifications necessary to furnish Chronic Care Management (CCM) services require the patient to have multiple (2 or more) chronic condition 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. Comprehensive care plan established, implemented, revised, or monitored). For new patients or patients not seen within 1 year prior to the commencement of CCM, Medicare requires initiation of services during a face-to-face visit with the billing practitioner. This visit must be initiated by an Annual Wellness Visit, Initial Preventive Physical Exam, etc.

Our program is centered on the following CPT codes:

CPT Code 99490

non-complex CCM at least 20 minutes of clinical staff time directed by a physician or other qualified health professional, per calendar month to coordinate care across providers and support patient accountability.

CPT Code 99439

is seen in tandem with CPT 99490. Each additional 20-minute (2) of clinical staff time spent providing non-complex CCM directed by a physician or other qualified health care professional.

CPT Code 99487

complex CCM is a 60-minute timed service provided by clinical staff to substantially revise or establish comprehensive care plan that involves moderate- to high-complexity medical decision making.

CPT Code 99489

is each additional 30 minutes of clinical staff time spent providing complex CCM directed by a physician or other qualified health care professional (report in conjunction with CPT code 99487; cannot be billed with CPT code 99490).

Transforming the patient engagement model is key to closing the gaps in care. Now health care organizations have several new tools (ie. Telehealth, Remote Patient Monitoring (RPM), Remote Therapeutic Monitoring (RTM), and Chronic Care Management (CCM)) that funds your efforts. Leveraging our award-winning virtual care engagement platform coupled with our Care Management Center and deployment methodology we can be changing lives within forty-five days.