Chronic Care Management (CCM): Understand how to capture incremental revenueDiagnotes, Inc.
By now you’ve likely heard that qualifying physicians can receive approximately $42/patient/month from CMS for non-face-to-face care management of patients with two or more chronic conditions. And, in many cases, with the right tracking and reporting, you may be able to capture this revenue for work your team is already doing. In just 30 minutes, you will understand the chronic care management program requirements and see how easy it is to capture and report qualifying activities.
The Centers for Medicare & Medicaid Services (CMS) recognizes Chronic Care Management (CCM) as a critical component of primary care that contributes to better health and care for individuals.
In 2015, Medicare began paying separately under the Medicare
Physician Fee Schedule (PFS) for CCM services furnished to Medicare patients with multiple chronic conditions.
This booklet provides background on payable CCM service codes, identifies eligible practitioners and patients, and details the Medicare PFS billing requirements.
March 02, 2018
Value-based health care is one of the most pressing topics in health care finance and policy today. Value-based payment structures are widely touted as critical to controlling runaway health care costs, but are often difficult for health care entities to incorporate into their existing infrastructures. Because value-based health care initiatives have bipartisan support, it is likely that these programs will continue to play a major role in both the public and private health insurance systems. As such, there is a pressing need to evaluate the implementation of these initiatives thus far and to discuss the direction that American health care financing will take in the coming years.
To explore this important issue, the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School collaborated with Ropes & Gray LLP to host a one-day conference on value-based health care. This event brought together scholars, health law practitioners, and health care entities to evaluate the impact of value-based health care on the American health care system.
For more information, visit our website at: http://petrieflom.law.harvard.edu/events/details/will-value-based-care-save-the-health-care-system
Clinicspectrum is a healthcare service/consulting company helping Medical offices, Hospitals and ACOs to reduce operational cost up to 30% with its unique Hybrid Workflow Model™ with use of back office services and technology products.
We are happy to launch our unique web-based Chronic Care Management Platform and discuss details about Chronic Care Management in this presentation.
Overview of the hospital discharge process as it relates to the development of a new transition of care clinic aimed at reducing the rate of hospital readmissions.
Complete Durable Medical Equipment (DME) Billing Guide | Sun KnowledgeMichael Smith
Sun Knowledge – A Practice Management and Revenue Cycle Management Company.
Contact Details:
New York Office - 41 Madison Avenue, 25th Floor, NY 10010
Phone - +1 212-400-6100, Email - contact@sunknowledge.com
Website - www.sunknowledge.com
DME Billing - http://sunknowledge.com/dme-billing-services/
Facebook - https://www.facebook.com/SunKnowledge
Twitter - https://twitter.com/sunknowledge
LinkedIn - https://www.linkedin.com/company/sun-knowledge
Google plus - https://plus.google.com/+SunknowledgeInc
Sun Knowledge provides Cost-Effective Solutions in Durable Medical Equipment (DME) Billing & Collections.
Sun Knowledge has a highly capable team of DME billing experts who can make life easier for you from the very first day. With Sun Knowledge by your side, you can leave all your DME billing worries to expert care. Outsourcing your DME billing requirements to us will allow you and your staff to concentrate on marketing, growing and running business operations, rather than managing a billing and collections department.
The Sun Knowledge Advantage:
The process starts with entry of orders and ends when the account has zero balance. This includes conducting eligibility checks, obtaining authorization, creating sales orders, scheduling delivery, submitting claims, managing rejections and denials, and proactively following-up AR.
Highlights
~ Follow-up on incomplete prescription with physician’s office
~ Follow-up for document collection (diabetic verification forms, LMN, CMN etc.)
~ Error free patient entry
~ Error free sales order creation
~ 100% HIPAA compliance
~ Real time transaction audits
~ Primary and secondary insurance verification
~ Insurance verification for rental items
~ Obtaining authorizations & extending authorization
~ Open order audit and clean-up
~ CPAP user compliance tracking and counseling calls to non-compliant patients
~ Claims submission within 48 hours of receiving proof of delivery
~ Rejection follow-up within 24 hours
~ Tracking and follow-up of partial or incorrect payments
~ Denial management based on detailed analysis
~ Methodical and proactive AR follow-up
~ Timely payment posting to reflect accurate AR
~ Customized reporting
Get started today.
Chronic Care Management (CCM): Understand how to capture incremental revenueDiagnotes, Inc.
By now you’ve likely heard that qualifying physicians can receive approximately $42/patient/month from CMS for non-face-to-face care management of patients with two or more chronic conditions. And, in many cases, with the right tracking and reporting, you may be able to capture this revenue for work your team is already doing. In just 30 minutes, you will understand the chronic care management program requirements and see how easy it is to capture and report qualifying activities.
The Centers for Medicare & Medicaid Services (CMS) recognizes Chronic Care Management (CCM) as a critical component of primary care that contributes to better health and care for individuals.
In 2015, Medicare began paying separately under the Medicare
Physician Fee Schedule (PFS) for CCM services furnished to Medicare patients with multiple chronic conditions.
This booklet provides background on payable CCM service codes, identifies eligible practitioners and patients, and details the Medicare PFS billing requirements.
March 02, 2018
Value-based health care is one of the most pressing topics in health care finance and policy today. Value-based payment structures are widely touted as critical to controlling runaway health care costs, but are often difficult for health care entities to incorporate into their existing infrastructures. Because value-based health care initiatives have bipartisan support, it is likely that these programs will continue to play a major role in both the public and private health insurance systems. As such, there is a pressing need to evaluate the implementation of these initiatives thus far and to discuss the direction that American health care financing will take in the coming years.
To explore this important issue, the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School collaborated with Ropes & Gray LLP to host a one-day conference on value-based health care. This event brought together scholars, health law practitioners, and health care entities to evaluate the impact of value-based health care on the American health care system.
For more information, visit our website at: http://petrieflom.law.harvard.edu/events/details/will-value-based-care-save-the-health-care-system
Clinicspectrum is a healthcare service/consulting company helping Medical offices, Hospitals and ACOs to reduce operational cost up to 30% with its unique Hybrid Workflow Model™ with use of back office services and technology products.
We are happy to launch our unique web-based Chronic Care Management Platform and discuss details about Chronic Care Management in this presentation.
Overview of the hospital discharge process as it relates to the development of a new transition of care clinic aimed at reducing the rate of hospital readmissions.
Complete Durable Medical Equipment (DME) Billing Guide | Sun KnowledgeMichael Smith
Sun Knowledge – A Practice Management and Revenue Cycle Management Company.
Contact Details:
New York Office - 41 Madison Avenue, 25th Floor, NY 10010
Phone - +1 212-400-6100, Email - contact@sunknowledge.com
Website - www.sunknowledge.com
DME Billing - http://sunknowledge.com/dme-billing-services/
Facebook - https://www.facebook.com/SunKnowledge
Twitter - https://twitter.com/sunknowledge
LinkedIn - https://www.linkedin.com/company/sun-knowledge
Google plus - https://plus.google.com/+SunknowledgeInc
Sun Knowledge provides Cost-Effective Solutions in Durable Medical Equipment (DME) Billing & Collections.
Sun Knowledge has a highly capable team of DME billing experts who can make life easier for you from the very first day. With Sun Knowledge by your side, you can leave all your DME billing worries to expert care. Outsourcing your DME billing requirements to us will allow you and your staff to concentrate on marketing, growing and running business operations, rather than managing a billing and collections department.
The Sun Knowledge Advantage:
The process starts with entry of orders and ends when the account has zero balance. This includes conducting eligibility checks, obtaining authorization, creating sales orders, scheduling delivery, submitting claims, managing rejections and denials, and proactively following-up AR.
Highlights
~ Follow-up on incomplete prescription with physician’s office
~ Follow-up for document collection (diabetic verification forms, LMN, CMN etc.)
~ Error free patient entry
~ Error free sales order creation
~ 100% HIPAA compliance
~ Real time transaction audits
~ Primary and secondary insurance verification
~ Insurance verification for rental items
~ Obtaining authorizations & extending authorization
~ Open order audit and clean-up
~ CPAP user compliance tracking and counseling calls to non-compliant patients
~ Claims submission within 48 hours of receiving proof of delivery
~ Rejection follow-up within 24 hours
~ Tracking and follow-up of partial or incorrect payments
~ Denial management based on detailed analysis
~ Methodical and proactive AR follow-up
~ Timely payment posting to reflect accurate AR
~ Customized reporting
Get started today.
Transitional Care Management: Five Steps to Fewer Readmissions, Improved Qual...Health Catalyst
Reducing readmissions is an important metric for health systems, representing both quality of care across the continuum and cost management. Under the Affordable Care Act, organizations can be penalized for unreasonably high readmission rates, making initiatives to avoid re-hospitalization a quality and cost imperative. A transitional care management plan can help organizations avoid preventable readmissions by improving care through all levels in five steps:
Start discharge at the time of admission.
Ensure medication education, access, reconciliation, and adherence.
Arrange follow-up appointments.
Arrange home healthcare.
Have patients teach back the transitional care plan.
Medical billing outsourcing assists health care entities through it’s revenue cycle management services, thus making the process smoother than ever. Medical billing outsourcing generally from USA improves revenue collection and ensures a smooth and consistent cash flow.
Revenue cycle management (RCM) is the financial process, utilizing medical billing software, that healthcare facilities use to track patient care episodes from registration and appointment scheduling to the final payment of a balance.
This is the product of compilation from various sources. I would like to acknowledge all direct and indirect sources although they have not been mentioned explicitly within the document.
This presentation covers the fundamentals of medical billing, coding, and reimbursement by explaining how all of these components work together. Emphasis is placed on the practical application of the latest industry knowledge and standards, with the goal of helping those who work with medical claims and claims data stay ahead of the game.
If you’ve ever spent time in a hospital — either as a patient, staff member, or visitor — then you know that institutional health care is extremely complicated by nature.
Chronic Care Management Coding Guidelines Effective January 1, 2017Manny Oliverez
The Centers for Medicare and Medicaid Services (CMS) recently released new billing requirements for chronic care management services. CMS initiated these latest billing changes in order to improve payment accuracy for CCM services as well as reduce the administrative burden for providers.
Visit Our Website: http://www.CaptureBilling.com/
Transitional Care Management: Five Steps to Fewer Readmissions, Improved Qual...Health Catalyst
Reducing readmissions is an important metric for health systems, representing both quality of care across the continuum and cost management. Under the Affordable Care Act, organizations can be penalized for unreasonably high readmission rates, making initiatives to avoid re-hospitalization a quality and cost imperative. A transitional care management plan can help organizations avoid preventable readmissions by improving care through all levels in five steps:
Start discharge at the time of admission.
Ensure medication education, access, reconciliation, and adherence.
Arrange follow-up appointments.
Arrange home healthcare.
Have patients teach back the transitional care plan.
Medical billing outsourcing assists health care entities through it’s revenue cycle management services, thus making the process smoother than ever. Medical billing outsourcing generally from USA improves revenue collection and ensures a smooth and consistent cash flow.
Revenue cycle management (RCM) is the financial process, utilizing medical billing software, that healthcare facilities use to track patient care episodes from registration and appointment scheduling to the final payment of a balance.
This is the product of compilation from various sources. I would like to acknowledge all direct and indirect sources although they have not been mentioned explicitly within the document.
This presentation covers the fundamentals of medical billing, coding, and reimbursement by explaining how all of these components work together. Emphasis is placed on the practical application of the latest industry knowledge and standards, with the goal of helping those who work with medical claims and claims data stay ahead of the game.
If you’ve ever spent time in a hospital — either as a patient, staff member, or visitor — then you know that institutional health care is extremely complicated by nature.
Chronic Care Management Coding Guidelines Effective January 1, 2017Manny Oliverez
The Centers for Medicare and Medicaid Services (CMS) recently released new billing requirements for chronic care management services. CMS initiated these latest billing changes in order to improve payment accuracy for CCM services as well as reduce the administrative burden for providers.
Visit Our Website: http://www.CaptureBilling.com/
Billing for medicare chronic care management (ccm)Richard Smith
The Centers for Medicare & Medicaid Services (CMS) recognizes that CCM services are critical components of primary care that promote better health and reduce overall health care costs. In 2015, Medicare began paying separately under the Medicare Physician Fee Schedule (PFS) for CCM services furnished to Medicare patients with multiple chronic conditions.
Billing for medicare chronic care management (ccm)Richard Smith
The Centers for Medicare & Medicaid Services (CMS) recognizes that CCM services are critical components of primary care that promote better health and reduce overall health care costs. In 2015, Medicare began paying separately under the Medicare Physician Fee Schedule (PFS) for CCM services furnished to Medicare patients with multiple chronic conditions.
What Physicians Need to Know: CMS Final Rules 2024Conference Panel
The CMS proposed rule for physician payment and coding changes sets the tone for the upcoming year. Attending this update ensures you are well-informed about the latest regulatory changes affecting healthcare services. Understanding the modifications proposed by CMS allows providers to adapt their coding practices, ensuring accurate reimbursement for the services they provide.
Knowledge of issues that were not implemented for 2023 provides valuable insights into what CMS is considering for the following year. This foresight enables strategic planning for 2024, allowing healthcare professionals to anticipate and prepare for potential changes. This year's update promises significant changes to key areas such as EM services, splits/shared care, remote patient monitoring (RPM), and complex chronic care management (CCM).
Register,
https://conferencepanel.com/conference/cms-physician-final-rules-for-2024-find-out-what-cms-has-finalized-from-the-proposed-rules
Chronic diseases such as cancer, stroke, cardiovascular disease, arthritis and diabetes are the leading causes of death and disability in the United States and throughout the world. Statistics show that more than 40% of U.S adults suffer from chronic diseases making the diseases responsible for about 23% of all hospitalizations in the U.S. Statistics show that cancer and heart disease account for more than 50% of all deaths among elderly people.
The Chronic Care Management at CMS is intended to provide 20 minutes non face-to-face services for patients suffering from two or more chronic conditions by providers, they can either use mHealth or telehealth technology to fulfill the CCM criteria.
Chronic Care Management in Post-Acute/LTC SettingPYA, P.C.
PYA Principal Denise Hall and PYA Manager Lori Baker presented an educational session, “Chronic Care Management in Post-Acute/LTC Setting” to members of The Vision Group during The Society for Post-Acute and Long-Term Care Medicine’s (AMDA) Annual Conference.
Chronic care management services in federally qualified health centersGaryRichards30
It is not mandatory for FQHCs to furnish Chronic Care Management services for their patients. These services can be given in addition to any routine care coordination services already furnished as a part of the patient’s visit to FQHC. Though it is not mandatory for them to give CCM services, they can bill for the same if the CCM requirements are met. FQHCs are reluctant in giving CCM services to their patients as it is a laborious task. With increasing CCM requirements from CMS, FQHCs are worried about taking up the Chronic Care Management program. This is where HealthViewX can be useful. HealthViewX Chronic Care Management solution has features that solve most of the problems faced by FQHCs.
A Physician's Guide to Chronic Care ManagementRenae Rossow
Learn how Chronic Care Management can impact your practice whether you choose to implement it in-house or outsource it. Now you will understand CCM and be able to make the right decision for your practice.
FAQs chronic care management medicare reimbursement billingGaryRichards30
Care providers across the United States of America are monetizing Medicare chronic care management billing reimbursement codes to increase revenue from their practice. Read on to find answers to all the most commonly asked questions about patient eligibility, the scope of services, CPT codes and payment reimbursement for Medicare CCM.
Streamline Principal Care Management (PCM) with offshore medical billing expertise, offering solutions with automated workflow, precise billing and plans to receive timely reimbursements for delivering patient care. Call us now! To know more visit: https://bit.ly/44pmU8X
JOIN US Thursday, Nov 17, 2016 1:30 PM - 2:30 PM EST to learn about the 1099 Chronic Care Medical Sales Opportunity with CareSync, the leading provider of technology & services for care coordination & chronic disease management. Platform provides in combination with our 24/7 nursing services facilitates care coordination for patients, their providers, family,& caregivers.
Check out the CareSync Slideshare to learn more about chronic care management. J
Join the Conference Call THURSDAY , Nov 17th 1:30 pm ( ET)
Call (213) 929-4232
Access Code: 226-975-231
2. THE PROBLEM
Chronic diseases and conditions, including heart disease, diabetes, COPD and obesity, are among the most
common, expensive, and preventable health problems in the United States. About half of the adults in
America, 117 million people, have at least one chronic condition.
Research consistently shows that effective chronic care management reduces the costs of care for
chronic disease patients while improving their overall health. However, providers have not been
reimbursed for non face-to-face care coordination services.
Chronic disease patients are often left to coordinate between-visit care for themselves, creating huge
gaps in communication, and resulting in fragmented health data, duplicated tests, increased healthcare
expenses, and a higher likelihood of poor health outcomes.
THE OPPORTUNITY
The Centers for Medicare & Medicaid Services (CMS) recognizes the importance of Chronic Care
Management (CCM) and the impact that it has on healthcare expenses and outcomes, and has started
paying monthly reimbursements for care coordination services.
New for 2015, Current Procedural Terminology (CPT®)2
code 99490 pays approximately $43 per month3
to
providers who deliver 20+ minutes of non face-to-face chronic care coordination to eligible Medicare
beneficiaries with 2 or more chronic conditions.
These services can be fulfilled by the provider or performed by a subcontractor.
caresync
IN THE UNITED STATES
CAUSES OF DEATH IN 2010 WERE CHRONIC ILLNESSES1
7of the TOP 10
GOES TO THE TREATMENT OF CHRONIC ILLNESS
2/3of Medicare dollarsARE SPENT ON PATIENTS WITH 5+ CHRONIC CONDITIONS.
1
http://www.cdc.gov/chronicdisease/overview/
2
CPT®
is registered trademark of the American Medical Association
3
$42.60 per month is the national average. Actual amounts will vary by region
3. In order to bill Medicare, providers must meet several new technology and services requirements for
creating and sharing comprehensive care plans with the patient and all of the patients’ providers.
CPT 99490
The Final Rule of the 2015 Medicare Physician Fee Schedule included the new CPT 99490, defined as:
REQUIREMENTS
CMS has listed specific requirements in order for providers to bill CPT 99490. They include:
✓✓24/7 access to clinical staff to address urgent
chronic care needs
✓✓Continuity of care through access to an
established care team for successive routine
appointments
✓✓Ongoing care management for all chronic
conditions, including medication reconciliation
and the regular assessment of a patient’s
medical, functional, and psychosocial needs
✓✓A comprehensive, patient-centered health
summary and care plan that includes all current
records from all the patient’s providers
✓✓Management of care transitions between and
among all providers and settings using electronic
transmission of information
✓✓Coordination with home- and community-based
clinical service providers
✓✓Patient and caregiver access, with enhanced
opportunities for all relevant caregivers to
communicate about the patient’s care
caresync
“Chronic care management services, at least 20 minutes of clinical staff
time directed by a physician or other qualified health care professional, per
calendar month, with the following required elements; multiple (two or
more) chronic conditions 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.”
(CMS Final Rule, October 31, 2014)
4. Eligible Providers
CMS’ intent was to have primary care coordinate, but the code allows for any provider to perform the
services. While the billing provider must oversee the CCM services, they are not required to be present for
the work to be done.
Physicians, regardless of specialty, advanced practice registered nurses, physician’s assistants, clinical nurse
specialists, and certified nurse midwives are all eligible to bill Medicare for CCM. Non-physician and limited-
license practitioners, such as clinical psychologists and social workers, are not eligible to bill for CCM.
To date, Medicare has not recognized CCM as a rural health clinic (RHC) or federally qualified health center
(FQHC) service. We expect this to change for 2016.
Only one provider may bill per calendar month.
Eligible Patients & Chronic Conditions:
CMS has left the ruling open to discernment by the provider. The guideline simply requires:
✓✓Two or more chronic conditions expected to last at least 12 months, or until the death of the patient
✓✓Chronic conditions that place the patient at significant risk of death, or acute exacerbation/
decompensation
CMS maintains a Chronic Condition Warehouse (CCW)4
with 22 chronic conditions listed to provide
researchers with beneficiary, claims, and assessment data, however, it is not an exclusive list.
caresync
Physicians, regardless
of specialty, advanced
practice registered nurses,
physician’s assistants,
clinical nurse specialists,
and certified nurse
midwives are all eligible to
bill Medicare for CCM.
4
https://www.ccwdata.org/web/guest/medicare-charts/medicare-chronic-condition-charts
5. PREVALENT HEALTH CONDITIONS AMONG HIGH-RISK PATIENTS
SO YOU WANT TO PROVIDE CCM FOR YOUR PATIENTS?
Consent
In order to bill for CCM, providers must get the patient’s written consent, confirming that the following has
been explained to the beneficiary:
✓✓An overview of CCM
✓✓How the CCM service may be accessed
✓✓That only one provider can provide CCM services
at a time
✓✓That information will be shared among all the
patient’s providers
✓✓The patient can terminate the CCM service at any
point in time by revoking consent
✓✓The patient will be responsible for any associated
copayment or deductibles
Once the consent form is signed, a copy must be stored in the patient’s medical record.
If a patient chooses to revoke consent, providers may not bill for CCM after the month the revocation was
made. If the 20+ minutes of CCM has already been completed, providers may bill for that month.
caresync
5
Source: November 2014 Healthcare Performance Benchmarks: Stratifying High-Risk Patients
Diabetes
Hypertension
Mental Health
Congestive Heart Failure
Chronic Obstructive
Pulmonary Disease
Other
Cardiac Arrhythmia
Vascular
End Stage Renal Disease
Acute Myocardial
Infarction/Infraction
37.5%
20.0%
15.0%
10.0%
5.0%
5.0%
2.5%
6. Certified EHR
Any provider billing for CCM is required to use technology, which for 2015, includes an EHR that satisfies
the 2011 or 2014 criteria of the EHR Incentive Program.
The Care Plan
At the core of the code, providers must maintain a regularly updated, electronic Care Plan that is based
on an assessment of the patient’s needs. The plan should include all of the patient’s healthcare providers,
family & caregivers, all health conditions (not just those considered chronic), and be aligned with the
patient’s choices and values.
CMS has included the following items as recommendations to be included in the patient’s comprehensive
Care Plan:
✓✓Comprehensive problem list including expected
outcome and prognosis and measurable
treatment goals
✓✓Symptom management and planned
interventions
✓✓Accessible community and social services
✓✓Plan for care coordination among all providers
✓✓Medication management, including current
medication list and allergies, reconciliation, and
oversight of patient self-management
caresync
Because of this, CMS
includes that providers
“must have flexibility to
use a wide range of tools
and services beyond
EHR technology now
available in the market
to support electronic
care planning.”
7. ✓✓Designated person responsible for each
intervention
✓✓Any requirements for regular review/revision
CMS requires that the care plan must be created using some form of electronic technology, but recognizes
that current EHR technology is limited in its scope to support electronic Care Plans.
Because of this, CMS includes that providers “must have flexibility to use a wide range of tools and services
beyond EHR technology now available in the market to support electronic care planning.”
There are three requirements regarding electronic access to the patient’s care plan:
✓✓All care team members must have 24/7 electronic access to the care plan
✓✓The billing provider “must electronically share care plan information as appropriate with other
providers” who are providing care for the patient
✓✓The billing provider must provide a paper or electronic copy of the care plan to the patient.
Additional Requirements
In order to bill for CCM, providers must offer 24/7 access to a member of the care team to address
urgent chronic care needs and facilitate care coordination, including successive routine appointments
and enhanced opportunities for patient/caregiver-provider communication, such as Direct messaging or
in-app communication.
Billing providers must facilitate all transitions of care, including follow-up with a patient after a visit to the
ER and post-discharge transitional care management (TCM) services6
. Additionally, providers furnishing
CCM are required to coordinate referrals to other providers, as well as to share up-to-date information
electronically with all the providers on a patient’s care team.
Lastly, providers must have the ability to coordinate care with home- and community-based providers, including
home health, hospice, nutrition services, outpatient therapies, and transportation services, to name a few.
Any communication with these service providers must be documented in the CCM-certified technology.
CHRONIC CARE MANAGEMENT WITH CARESYNC
The new Chronic Care Management code creates new opportunities for added revenue and enhanced
patient care. However, caution must be taken to be certain that billing providers are compliant with the
billing requirements for 99490.
Many providers throughout the United States are looking for ways to offer this proven, effective benefit for
their patients, while adding in a new stream of revenue.
The strict billing requirements of CMS’ Chronic Care Management initiative are at the very core of what
CareSync has been doing for years. The unique combination of industry-leading technology and care
coordination services creates a turnkey, care management solution to provide CCM for your practice.
caresync
6
Providers may not bill for TCM and CCM at the same time.
8. Providers who choose CareSync’s Chronic Care Management are effortlessly equipped to offer patients and
their families the most comprehensive care coordination solution available.
How does it work?✓✓✓
✓ Health Assistants collect medical records from all
a patient’s providers to build a comprehensive
Care Plan and health summary that includes the
CMS-required elements.
✓ Health Assistants spend a minimum of 20
minutes per patient, per month assisting with
care coordination tasks including scheduling
medical visits, reconciling medication lists,
updating care plans, tracking adherence and
more.
✓ Health Assistants are available 24/7 by phone,
online, and through in-app messaging to help
patients with acute chronic care issues and care
coordination tasks.
✓✓CareSync’s Health Assistants facilitate care
transitions, document the information, and
keep all members of the care team up-to-date.
✓✓Every medical visit is recorded, and every
provider has access to the documentation via
the free CareSync application and care team
updates. True care coordination.
✓✓CareSync offers the revolutionary ability for
families to access & interact with information,
share it before visits, listen to a recording
of the doctor’s instructions, and respond
to notifications when a reminder is missed.
CareSync is a true family health record.
caresync
CareSync’s industry-leading
technology and care coordination
services turn an overwhelming
process into an opportunity to
greatly improve your patients’
experiences and medical
outcomes, with a positive impact
on your bottom line.
9. In addition to meeting all of Medicare’s requirements for CCM, CareSync goes above and beyond. Here are
a few of the additional benefits you and your patients receive with CareSync:
✓✓Our trademarked Health Timeline™ is an important part of your patient’s history, as well as the care
team’s understanding of what has been done lately. The most recent 30 days of Timeline activity is
included with the monthly update sent to all current providers.
✓✓Free Caregiver Accounts - The patient’s family members and other caregivers not only have access to
the patient’s information, they are encouraged to create their own free accounts to be truly engaged
with the application.
✓✓Medication & measurement instructions & reminders are part of every Care Plan, but CareSync turns
it into an engaging opportunity to generate useful data and complete the communication loop with the
providers.
✓✓Visit planning tools make it easy for patients and caregivers to plan the visit by adding notes and
tasks that are transmitted to the provider before the visit. A voice recorder built into the app allows the
doctor’s explanations and instructions to be saved.
✓✓Integrations with tracking and wearable devices make it nearly effortless for patients to collect critical
between-visit data.
caresync
CareSync’s industry-leading technology and care coordination services turn an overwhelming process into
an opportunity to greatly improve your patients’ experiences and medical outcomes, with a positive impact
on your bottom line.
CareSync will provide the turnkey service and a summary at the end of each month. You bill Medicare each
month, and pay only for the CareSync service. The CareSync platform is also available as a software-only
option.
Getting started is simple:
We know you’re busy. CareSync ensures that you benefit from this revenue-generating opportunity
without adding to your expenses or making any changes to your current workflow. CareSync is designed to
work with your current technology, and your dedicated Implementation Manager will guide you through
the simple setup in just a few minutes.
Visit us online at www.caresync.com/ccm, or talk to one of our Chronic Care Management experts by
calling 813-658-3749.
LEARN MORE
10. CALL US AT 813.658.3749
FOR INQUIRIES CONTACT CCM@CARESYNC.COM
VISIT US TODAY AT WWW.CARESYNC.COM/CCM