1. caresync
Obtain Beneficiary’s Written Consent
r The billing practitioner must explain the
program and secure the beneficiary’s
written consent before CCM services
can begin
All Providers Have Access to the
Patient’s’ Care Plan
r No fax allowed.
r Your EMR or HIE must make the
Comprehensive Care Plan electronically
accessible, 24/7, to all of the patients’
healthcare providers.
Share A Comprehensive Care Plan
r You must create and maintain a care plan
from all providers and electronically share
it with the entire care team. No fax allowed.
r You must provide the patient and their
family with 24/7 electronic access or a
paper copy of the comprehensive Care Plan
- most EMRs do not provide this.
Manage Medications
r You must provide medication reconciliation,
adherence, potential interactions, and
maintain a list of current medications and
allergies
r You must oversee & track the patient’s self-
management of medications
Time Tracking: 20 minutes non face-
to-face
r You must spend a minimum of 20 minutes
of documented time per month
r You must record the start and stop time,
who performed the services, and a short
description of what services were provided
r 500 CCM patients will require TWO full-time
licensed clinical staff
Post-Discharge Transitional Care
Management (TCM)
r You must have the capability to follow up
with the beneficiary after an ER visit, provide
any necessary TCM services, and coordinate
referrals to other healthcare providers.
Obtain confirmation from your
technology vendor
r You are required to use technology for
electronic access to Care Plans by patients
and all of the patient’s providers.
r You must be certain that your EMR vendor
provides the documentation for required
services to bill Medicare for CCM
Are you prepared to meet
the requirements of 99490?
caresync
813.658.3749
www.caresync.com
sales@caresync.com
phone
website
email