Chronic Care Management

Beginning January 1, 2015, Medicare now pays for Chronic Care Management, or CCM. CCM payments will reimburse the practitioner for non-face-to-face services to qualified beneficiaries over a calendar month. CMS has adopted CPT 99490 for Medicare CCM services, which are defined as follows: “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. Current Procedural Terminology (CPT) a registered trademark of the American Medical Association.

P5 Connect, Inc. has the technological and professional capabilities of assisting your practice with fulfilling the CCM services for qualifying patients. Please see the tables below for the summary of the CCM requirements as the services that P5 Connect, Inc. can provide in assisting the physician’s practice in providing CCM services.

Universal Medication Management

P5 Connect, Inc. is partnered with Universal Medication Management.

Chronic Care Management Program

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Chronic Care Management Calculator

  • x % of patients with 2 or more chronic conditions (Alabama Average**)
  • Estimated CCM Payments Per Month Per Patient (on Average)
  • Please enter a number from 0 to 100.
  • **Alabama Average Obtained from here.
    *This example calculation above is offered as an estimate of possible revenue generated by participation in Chronic Care Management through CMS.

Chronic Care Management Capabilities

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