Chronic Care Management at a Glance
117 million Americans have one or more chronic health conditions.
2/3 of Medicare beneficiaries have 2 or more chronic conditions.
Patients with multiple chronic conditions often visit multiple providers in different organizations, leading to duplication and conflicts in Care Plans.
Medicare began allowing physicians to bill for chronic care management (CCM) in 2015.
CMS specifies that the code must be billed for “non-face-to-face follow-up care outside the office” each month.
Understanding the Requirements of Code 99490
This code is specific to Chronic Care Management and is the reimbursement of chronic care services for patients with:
Two or more chronic conditions
To be reimbursed for such care, practices must:
Contact each eligible patient every month.
Conduct at least 20 minutes of non-face-to-face care.
Establish, implement, revise or monitor a comprehensive care plan.
Non-Face-To-Face Care Services
To help provide the best care to your patients, our nurses offer personalized care to each patient, alternating between telephonic and purposeful postal mailings every month.
- First Care Plan Creation
- Medication Analysis
- Additional Care Plan Creation
- Preventive Health Analysis
- Initial Care Plan Review
- Medication Review
- Subsequent Care Plan Review
- Symptoms Management
- Preventive Health Review
Getting to Know CCM
According to CMS, these chronic conditions include*:
- Acquired Hypothyroidism
- Acute Myocardial Infarction
- Alzheimer’s Disease & Related Disorders
- Atrial Fibrillation
- Benign Prostatic Hyperplasia
- Cancer, Colorectal
- Cancer, Endometrial
- Cancer, Breast
- Cancer, Lung
- Cancer, Prostate
- Chronic Kidney Disease
- Chronic Obstructive Pulmonary Disease
- Heart Failure
- Hip/Pelvic Fracture
- Ischemic Heart Disease
- Rheumatoid Arthritis
- Stroke/Transient Ischemic Attack
* This is not an exclusive list of chronic conditions. CMS may recognize other conditions for purposes of providing CCM.