Medicare Chronic Care Management Program
Proactive Patient Care & Higher Reimbursements Made Easy
Add value-based care for Medicare patients and increase revenue through easy & risk-free process integration.
Become Known As the Healthcare Hero
Be the hero of patients’ health stories with Neolytix’s Medicare Chronic Care Management support. Every addition to how you provide healthcare to your patients helps you stand out from your competitors. With our Rev+ Patient Chronic Care Management Program, you can enjoy an improved reputation as well as an increase in reimbursements by harnessing the expertise of our teams and their industry-leading technology to provide round-the-clock monitoring of your most vulnerable patients’ health.
Improve Patient Perception of Your Practice
By introducing this new type of proactive care to patients, they will sing your praises and grow their trust in your organization’s ability to provide excellent healthcare, even from the comforts of their own homes.
Be a Leader, Not a Lagger
A Win-Win Partnership for Better Health and Financial Prosperity
Medicare Chronic Care Management offers a platform that enables healthcare organizations to maintain continuous awareness of their patient’s status, leading to a significant enhancement in patient care. But the benefits extend toward the provider side, too, because healthcare providers can access extra risk-free revenue without requiring additional resource investments.
Patients
Personalized Wellness Support
Our service promotes proactive management of chronic conditions for improved overall well-being.
Enhanced Accessibility:
Patients’ vitals are tracked round-the-clock, fostering peace of mind and timely interventions whenever health concerns arise.
Empowered Self-Management:
Through educational resources and close monitoring, patients are empowered to take control of their health, leading to better health outcomes and improved quality of life.
Providers
Steady Revenue Stream:
Healthcare providers can expand their revenue through reimbursable chronic care coordination services, adding a consistent source of income.
Streamlined Workflow:
Our service streamlines patient data collection, enabling efficient care coordination and reducing administrative burdens, allowing healthcare providers to focus more on patient care.
Stronger Patient Engagement:
Providers can foster deeper patient relationships and loyalty by offering extended care support, resulting in improved patient satisfaction and a strong reputation within the community.
How Does It Work?
Improved Health
Chronic Care Management refers to the remote monitoring and support of Medicare beneficiaries above the age of 65, who have multiple (two or more) chronic health conditions.
Healthcare providers utilize our CCM program to coordinate and monitor patients’ health, medication adherence, and lifestyle adjustments, which leads to an improvement in patient health. For their services, healthcare providers are reimbursed accordingly.
Improved Revenue
CPT code 99490 is a healthcare billing code used for chronic care management (CCM) services. This code is used to bill for non-face-to-face care coordination services provided to patients with multiple (two or more) chronic conditions, expected to last at least 12 months or until death.
New Monthly Revenue QUICK Calculation:
Follow the steps below to get a ballpark figure for new reimbursements.
- Determine the number of Medicare patients you have
- Take this number and multiply by 0.67
- Multiply the answer by $64.02
Why Delegate Care to Neolytix Rev+?
Rev+ CCM Program seamlessly integrates with your current operations and health systems to deliver Chronic Care Management and Remote Patient Monitoring services without requiring upfront investments, staff training, and operational hiccups. Our exclusive focus on the healthcare industry for over 11 years gave us the expertise to collaborate harmoniously with practice/hospital teams.
Access Instant Expertise
We bring the tech and process expertise that assists with seamless CCM solutions integration
White-Glove Service
Round-the-clock simplified billing, technical & end-user support
Risk-Free Collaboration
No upfront investment for CCM, software, hiring staff, and training
Access Instant Expertise
We bring the tech and process expertise that assists with seamless CCM solutions integration
White-Glove Service
Round-the-clock simplified billing, technical & end-user support
Risk-Free Collaboration
No upfront investment for CCM, software, hiring staff, and training
11+ Years Experience
Providing Healthcare Management Services Nationwide
Constant Monitoring
Monitoring, recording, and reporting health data every hour of every day and year
50 States
Offering CCM Services and other non-clinical services, nationwide
11+ Years Experience
Providing Healthcare Management Services Nationwide
Constant Monitoring
Monitoring, recording, and reporting health data every hour of every day and year
50 States
Offering CCM Services and other non-clinical services, nationwide
- Fee-based on successful reimbursement only
- No upfront investment (hiring staff & training)
- Device purchase and replacement coordination
- Identification of eligible patients for the program
- Access to technical and user support
- Simplified medical billing process
- Daily patient monitoring services
- Patient sign up, reach out, and remote support
- Training clinical staff on program requirements & device functioning
Speak to a Specialist
Schedule a FREE consultation with one of our specialists to learn how Revenue+ can empower Chronic Care Management to expand patient care and optimize reimbursement revenue.
EHR Integration with Rev+ Medicare
Chronic Care Program
The information will be fed into the EHRs, and the upload process will be dependent on the EHR integration, affecting the timing and speed of the transfer.
A PDF can be regenerated as needed, incorporating all new additional notes and information. As administrators, we have access to these updated reports. Providers may not have direct access to the patient PDFs unless they are directly fed into the EHR records. The ability to upload the updated reports will depend on the EHR system in use.
Readings are included in the patient’s PDF report along with notes, alerts, transmissions, time tracking, and patient information. The patient’s PDF report provides a summary of the readings and an overall view of each reading they took.
From the medical billing side for RPM, Neolytix handles the billing and takes extra care because if we don’t get reimbursements, we can’t charge our clients as in accordance with our RPM policy.
Reimbursement Calculator
Simply enter a ‘guestimation’ of the patients that must utilize their RPM device daily
CUSTOMER TESTIMONIALS
How others benefited from working with Neolytix
Frequently Asked Questions (FAQ’s)
Chronic care management services refer to services that are not provided in person, but rather are offered to Medicare beneficiaries with at least two chronic conditions that are expected to last for a minimum of 12 months or until the patient’s death.
The Centers for Medicare & Medicaid Services (CMS) acknowledges the importance of CCM services as fundamental elements of primary care that enhance wellness and lower healthcare expenditures.
Implementing Medicare Chronic Care Management services can provide several benefits for both patients and healthcare providers. Some reasons why Medicare CCM may be beneficial include:
- Improved patient outcomes CCM services are designed to help patients manage their chronic conditions and promote better health outcomes. By providing regular check-ins, care coordination, and support, CCM services can help patients avoid complications, reduce hospitalizations, and improve their overall quality of life.
- Increased revenue for healthcare providers: By providing CCM services, eligible healthcare providers can receive reimbursement from Medicare, which can help increase their revenue streams. Additionally, providing CCM services can help improve patient satisfaction and loyalty, leading to increased business for the healthcare provider.
- Reduced healthcare costs: By helping patients better manage their chronic conditions, CCM services can help reduce healthcare costs associated with hospitalizations, emergency department visits, and other expensive treatments. This can help lower overall healthcare expenditures for both patients and payers.
These physicians and Non-Physician Practitioners (NPPs) may bill CCM services:
- Physicians
- Certified Nurse Midwives (CNMs)
- Clinical Nurse Specialists (CNSs)
- Nurse Practitioners (NPs)
- Physician Assistants (PAs)
They must also have an established relationship with the patient and must use an electronic health record (EHR) system that meets certain requirements to document and report the CCM services. Take note of the different codes used for billing between NPPs and physicians.
CPT code 99491: Time only the billing practitioner spends. Clinical staff NPPs’ time doesn’t count.
CPT codes 99487, 99489, and 99490: Time spent directly by NPPs. Practitioner time is also allowed if not billed under 99491 already.
Medicare reimburses for Chronic Care Management (CCM) services on a monthly basis, meaning that eligible healthcare providers can receive payment for each month that they provide CCM services to an eligible patient. It’s important to note that Medicare may also reimburse for additional services provided in conjunction with CCM, such as transitional care management, advance care planning, and annual wellness visits, among others. However, the reimbursement rates for these services may differ from that of CCM services. The rates below are based on national averages.
The CPT codes used to report CCM services are:
- CPT code 99437 $49.98
30 additional minutes of provider time (no limit) - CPT code 99439 ($47.44)
Each additional 20 minutes of clinical staff time spent providing non-complex CCM directed by a physician or other qualified health care professional (billed in conjunction with CPT code99490) - CPT code 99490 ($62,69)
Non-complex CCM is a 20-minute timed service provided by clinical staff to coordinate care across providers and support patient accountability. - CPT code 99491 $85.06
CCM services are provided personally by a physician or other qualified health care professional for at least 30 minutes. - CPT code 99487 $133.18
Complex CCM is a 60-minute timed service provided by clinical staff to substantially revise or establish comprehensive care plan that involves moderate- to high-complexity medical decision-making. - CPT code 99489 $70.49
Is each additional 30 minutes of clinical staff time spent providing complex CCM directed by a physician or other qualified health care professional (report in conjunction with CPT code 99487; cannot be billed with CPT code 99490)
Schedule a free, no-obligation consultation to learn more about optimizing your revenue cycle
Complete the form and someone from our team will be in touch with you!
