Chronic Care Advantage, LLC
Expert Care Management Services
Unlock optimal care with Chronic Care Advantage, LLC. Medicare reimbursement for CCM, PCM, TCM, and more. Enhancing patient outcomes through expert care management.
Chronic Care Management
Chronic care management refers to a proactive and coordinated approach to caring for individuals with complex needs. It involves comprehensive care coordination services that aim to improve patient outcomes, enhance quality of life, and reduce healthcare costs. Care coordination services encompass activities such as medication management, care planning, monitoring patient progress, coordinating healthcare providers, facilitating communication, and providing support and education to patients and their families. By effectively managing chronic conditions and ensuring seamless collaboration among healthcare providers, chronic care management and care coordination services contribute to better overall care and improved health outcomes for patients.
Medicare's reimbursable chronic care management (CCM) and other programs, such as Principal Care Management (PCM), are specific initiatives designed to support and reimburse healthcare providers for delivering comprehensive chronic care management services. These programs recognize the importance of proactive care coordination and management for patients with chronic conditions.
Phone
Location
150 Andrew's Road, Ste 150, #44, Fayetteville, NC 28311.
Hours
Monday - Friday: 9am - 5 pm EST
Saturday: 9am - 12 noon EST
Sunday: Closed
Chronic care management (CCM) specifically focuses on patients with multiple chronic conditions.
It involves non-face-to-face services, such as care planning, medication management, coordination with other healthcare providers, and regular communication with patients to ensure their needs are met. Medicare reimburses eligible healthcare providers for the time and resources they invest in delivering these services.
Principal Care Management (PCM) is a newer program that targets patients with a single chronic condition.
It follows a similar framework to CCM, offering care coordination, patient education, and support services for individuals managing a specific chronic condition.
Both CCM and PCM programs aim to improve patient outcomes, enhance care coordination, and reduce healthcare costs by providing comprehensive and proactive management for chronic conditions. By reimbursing healthcare providers for these services, Medicare promotes the adoption of effective chronic care management practices, ultimately benefiting patients with chronic conditions.
Chronic Care Management (CCM) is an indispensable aspect of patient care that leads to improved patient outcomes.
The Centers for Medicare and Medicaid Services (CMS) acknowledges that Chronic Care Management (CCM) is an indispensable aspect of patient care that leads to improved patient outcomes. In 2015, Medicare began to provide reimbursement to providers under the Medicare Physician Fee Schedule (PFS) for CCM services delivered to patients with numerous chronic conditions. In 2021 CMS added 5 additional billable codes. CCM is a group of extensive care management and care coordination services billable by Physicians and Non-Physician Practitioners (NPPs). Through partnership with expert care coordinators, physicians and NPPs can bill for reimbursement of CCM services.
Chronic Care Management (CCM) is a free or low cost program offered by the Center for Medicare & Medicaid Services (CMS) through your provider.
PATIENT QUALIFICATIONS
Medicare beneficiaries
2 or more chronic conditions (ex. diabetes, hypertension, COPD, Anxiety, Depression...) expected to last at least 12 months
Annual Wellness Visit (AWV) in the last 12 months
CCM PATIENT BENEFITS
Medicare beneficiaries
2 or more chronic conditions (ex. diabetes, hypertension, COPD, Anxiety, Depression...) expected to last at least 12 months
Annual Wellness Visit (AWV) in the last 12 months
PRINCIPLE CARE MANAGEMENT (PCM)
In 2020, the Centers for Medicare and Medicaid Services (CMS) introduced Principal Care Management (PCM). This program aims to enhance the level of care provided to patients who have a single chronic condition or to enable healthcare providers to focus on treating one specific chronic condition in patients with multiple chronic conditions.
Before the introduction of PCM, CMS only allowed practices to receive reimbursement for treating patients with two or more chronic conditions through their Chronic Care Management (CCM) program.
PCM was designed to address this gap by recognizing that many practices encounter patients with only one chronic condition who would greatly benefit from targeted care. By implementing PCM, CMS aims to improve the quality of care for these individuals and enhance the overall management of chronic conditions.
Unlock the power of improved patient outcomes and reduced workload by embracing Medicare's Chronic Care Management (CCM) program!
As healthcare providers, your commitment to patient care is unparalleled, and now you can elevate it even further. With CCM and PCM, you gain access to a dedicated care management team at no cost. Imagine having a team of experts by your side to proactively address your patients' chronic conditions, streamline their care, and enhance their well-being. This program not only ensures healthier, happier patients but also eases the burden on your shoulders, allowing you to focus on what truly matters - providing exceptional healthcare. Partner with Chronic Care Advatage, LLC today and redefine the standard of care while lightening your workload.
Principle Care Management (PCM) is a free or low cost program offered by the Center for Medicare & Medicaid Services (CMS) through your specialty provider.
PATIENT QUALIFICATIONS
Medicare beneficiaries
1 or more chronic conditions (ex. CKD, diabetes, hypertension, COPD, Anxiety, Depression...) expected to last at least 12 months
Seen by the specialty provider in the last 12 months
PCM PATIENT BENEFITS
Improved Care Transitions
Continuity of Care
Chronic Disease Education
Health Coaching & resources
Medication Reconciliations
Who Can Bill ?
Physicians, Nurse Practitioners (NP), Physician Assistants (PA), Nurse Midwifes, Clinical Nurse Specialists (CNS)
PROVIDER REQUIREMENTS
Certified Electronic Health Record
24/7 Patient Access
Perform Patient AWN in Last 12 Months
Share Care Plan with Patient
Supervision of CCM Services
Care Management Billing
Billing for care management services can be a complex and time-consuming process, often posing challenges for healthcare providers. From ensuring accurate documentation to meeting stringent billing requirements, navigating the intricacies of reimbursement can be overwhelming.
However, Chronic Care Advantage is here to alleviate these burdens. Our dedicated team is well-versed in the intricacies of CCM & PCM and equipped with the expertise to streamline the process and maximize reimbursements.
By partnering with us, healthcare professionals can confidently overcome the challenges of billing, allowing them to focus on what matters most – delivering exceptional care to their patients. With Chronic Care Advantage, providers can optimize their revenue while ensuring compliance and efficiency in the billing process.
CHRONIC CARE MANAGEMENT (CCM) BILLING
Billing for CCM requires a thorough understanding of the specific Current Procedural Terminology (CPT) codes associated with these services. CPT codes commonly used in CCM include 99490, 99491, 99487 and 99489, which capture the time and effort spent on care coordination, patient engagement, and comprehensive care planning. These codes allow providers to accurately document and bill for the valuable services our team provides to patients with chronic conditions.
PRINCIPLE CARE MANAGEMENT (PCM) BILLING
Billing for PCM can be a complex and time-consuming process, often posing challenges for healthcare providers. From ensuring accurate documentation to meeting stringent billing requirements, navigating the intricacies of reimbursement can be overwhelming.
However, Chronic Care Advantage is here to alleviate these burdens. Our dedicated team is well- versed in the intricacies of PCM and equipped with the expertise to streamline the process and maximize reimbursements. By partnering with us, you can confidently overcome the challenges of PCM billing, allowing and focus on what matters most – delivering exceptional care to your patients. With Chronic Care Advantage, you can optimize your revenue while ensuring compliance and efficiency in the billing process.
CHALLENGES OF IMPLEMENTING
Implementing care management services can present numerous challenges for healthcare providers.
COMPREHENSIVE CARE PLAN (CCM)
One major hurdle is the development of a comprehensive care plan that addresses the unique needs of each patient.
COMPLIANT PATIENT COMMUNICATION
Ensuring compliant patient engagement requires effective communication and education strategies to actively involve patients in their care.
BILLABLE CARE COORDINATION
Another challenge lies in providing billable care coordination services, as it requires meticulous tracking of non-face-to-face time spent on patient management.
With the support of Chronic Care Advantage , providers can overcome these challenges effortlessly. Our expertise and technology-driven solutions streamline the implementation process, enabling providers to focus on delivering high-quality care while maximizing reimbursement and ensuring compliance every step of the way.
Help is here
Chronic Care Advantage is a leading care coordination agency that revolutionizes care management services. As an agency operated by an RN Case Manager with over a decade of experience, we bring unparalleled expertise and dedication to optimizing patient care. We go beyond traditional approaches by engaging patients with innovative health coaching techniques that empower them to take charge of their well-bein g.
But we don't stop there. Chronic Care Advantage understands that patient support extends beyond healthcare facilities. That's why we connect patients with valuable community resources, ensuring they have access to comprehensive care beyond medical settings.
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Our mission
We understand the challenges providers face when implementing chronic care management programs. That's why our services are designed to meet patient engagement, documentation, and billing guidelines effortlessly. With Chronic Care Advantage, you can grow your team without the added costs of hiring additional staff or investing in resources.
Our mission is to make CCM available to patients by making the implementation of CCM programs easy for providers. With our seamless solutions and dedicated support, you can confidently embark on your journey towards enhanced patient outcomes and increased revenue.
Why you should choose us?
Choose Chronic Care Advantage and experience the transformation of care coordination. Together, let's redefine what it means to provide exceptional care management services.
COMPLIANT PATIENT CONSENT
COMPREHENSIVE CARE PLAN
CARE COORDINATION SERVICES
COMPLIANT DOCUMENTATION
BILLING GUIDANCE
CHRONIC DISEASE EDUCATION
HEALTH COACHING
COMMUNITY RESOURCE GUIDANCE
Getting started Takes a few steps
CONTACT US TODAY!
Don't let the challenges of care management services wear you down. Take a proactive step towards success by reaching out to Chronic Care Advantage, the leader in comprehensive care coordination.With our expertise, we can alleviate the burdens of CCM documentation, billing, and program implementation, allowing you to focus on what you do best: delivering exceptional care to your patients. Click "Contact Us" to begin a rewarding partnership!
Chronic Care Advantage, LLC
is an equal opportunity service provider and does not discriminate based on race, color, ethnicity, nationality, age, religion, disability, gender, sexual orientation or any other characteristic protected by law.
Expert Care Management Services