Chronic Care Management Solution Brief SUMMARY

The Challenges Of Managing, Billing For Chronic Care

Tracks time and activity against all current CPT billing codes Covers both non-complex and complex CCM Automates enrollment, eligibility identification, engagement, activity tracking, reporting Integrates with existing applications Evidence-based best-in-class care plan templates

Chronic care management, defined as care for patients with 2+ chronic diseases, represents a potentially significant additional line of service offering for providers. But understanding and aligning with CMS reimbursement guidelines has been a real challenge, limiting adoption of the service. That changed in 2017. CMS has streamlined and expanded billable activities and added complex CCM to foster better outcomes and improve incentives for providers. This expansion, while increasing the benefits to providers, also increases the overhead from manually trading time and navigating how to apply billing codes. This makes it difficult for providers to extract full benefit from adopting CCM. Careskore Enables Seamless, Simplified CCM And Complex CCM CareSkore’s population health management platform eliminates most of these difficulties by automating much of the process. This allows providers to streamline the generation of CCM revenue, offer a richer set of services to CCM patients, and improve efficiency by simplifying and automating care. CareSkore applies all billing code rates as appropriate to provider activities, automatically tracks billable time spent on each encounter, provides best practice care plans per diagnosis, and offloads,via AI-driven patient engagement, some routine CCM interactions from care teams to allow them to focus on the most critical patient needs.

CCM WORKFLOW Evidence-based best-in-class care plan templates

Auto-enrollment

Auto identify CCM and complex CCM patients

Live and automated patient engagement

Auto-track time, activity against billing code(s)

Auto-reporting

With CareSkore CCM, providers can simply and rapidly expand their range of billable services, provide a greater set of services to patients, and improve care team efficiency, freeing up their time to focus on a larger population of patients. CareSkore integrates directly with your existing applications to provide a seamless transition to CCM adoption. By automating a significant portion of the process, CareSkore helps remove the largest hurdles to CCM implementation. Leverage CareSkore’s extensive expertise in population health management, risk stratification, patient engagement, and care plan development to deploy and/or enhance your CCM offering to generate better care and business outcomes for your organization.

Service

Billing Code

Payment

99358

First 60 minutes of E/M services per month

$113.41

99359

Each additional 30 minutes of E/M services per month

$54.55

99487

Complex CCM, min 60 min of non face-to-face care mgmt services per month

$93.67

99489

Complex CCM, each additional 30 min of non face-to-face care mgmt services per month

$47.14

99490

CCM, min 20 min of non face-to-face care mgmt services per month

$42.71

99495

Communication with patient within 2 business days of discharge, moderate complexity, face-to-face within 14 calendar days of discharge

$164.00

99496

Communication with patient within 2 business days of discharge, high complexity, face-to-face within 7 calendar days of discharge

$231.12

G0506

One-time care plan development

$63.88

G0505

Care plan development for outpatient with cognitive impairment

$238.30

G0508

First 60 minutes of telehealth care

$153.24

G0509

Each additional 50 min of telehealth

$146.50

G0438

Annual wellness visit (initial)

$172.00

G0439

Annual wellness visit (subsequent)

$111.00

Auto-enroll qualifying patients into CCM or complex CCM programs

Auto-identify non-complex and complex CCM patients

Auto-generate evidence-based best-in-class care plans per diagnosis(es)

24/7 live or automated providerpatient connection via phone, text, wearables, video, etc.

Auto-track time and activity to generate accurate billing

Auto-generate regular reports on care team and patient

Capture additional revenue while improving provider efficiency

Direct integration with real-time data updates from existing EHR and other applications

Offer a richer set of services to your chronic care patients

CareSkore, Inc. | 655 Castro Street, Mountain View, CA, 94041 USA | 866-987-0001 | www.careskore.com Copyright © 2017 CareSkore, Inc. All rights reserved. CareSkore, Product Health Management as a Service, and PHMaaS are trademarks of CareSkore, Inc. in the United States and/or other jurisdictions. All other marks and names mentioned herein may be trademarks of their respective companies