With ChronicCareIQ, your practice can perform chronic care management (CCM) confidently and profitably without adding staff or a third-party call center.
Our award-winning technology solution proactively engages your eligible patients and obtains updates about their current health status. A red-yellow-green dashboard alerts staff which patients are trending poorly or are in need of outreach so you can prevent adverse events.
ChronicCareIQ also integrates with your EHR and phone system to ensure all eligible activities and patient contact points are automatically captured, timestamped and documented with the appropriate CCM reimbursement codes.
The result? Better patient outcomes, better documentation, and more secure reimbursements.
Once patients are enrolled in your care management program, the system begins to proactively engage with them according to the clinical protocols you set for their specific chronic conditions. Engagement comes in the form of a series of simple questions that patients respond to – either on their phone, tablet, or personal computer. And 87% of those who start are still engaged one year later.
As your team provides care and supportive services, such as phone calls, coordinating medication refills, patient education, and care coordination with specialists and testing centers, the system recognizes those interactions and automatically captures and timestamps each activity for reimbursement. Each eligible activity is then assigned the appropriate care management program codes. There is no need for staff to manually provide documentation or follow reimbursement guidelines for hitting certain thresholds – the system does the work for them.
Your clinical team members simply review their red-yellow-green dashboards to know which patients are trending in the wrong direction or those who have exceeded pre-set clinical thresholds. They can drill down to the details of each patient, review recent interactions and see the latest data coming in from patients and/or monitoring devices. This gives them a complete picture of the patient in real-time so they can make more informed decisions about what needs to happen for each patient. Earlier intervention not only improves outcomes and patient satisfaction, it also makes complex patients easier to care for and reduces the burden on staff.
Your back-office staff has access to reports that show which clinical activities were performed on which patients so preparing claims for reimbursement is simple. The system not only quantifies but also qualifies where the time was spent, so you know exactly what to bill for each patient. This helps protect your practice from over or under billing without appropriate documentation. All the pieces come together.
Use our Provider Analysis Tool and unlock your potential for increased revenue.
Discover your potential for increased revenue with chronic care management by entering your NPI number in our Provider Analysis tool below. The personalized provider profile analyzes your patient population’s chronic conditions and provides monthly reimbursement estimates tailored to you.
How ChronicCareIQ Unleashes New Revenue for Your Practice
The old way of operating and funding a medical practice is gone, thanks to a number of factors including the COVID-19 pandemic, the move to value-based care, the aging of Americans, and ongoing cuts to reimbursement. Chronic Care Management, Remote Patient Monitoring, Transitional Care Management and Principal Care Management offer new sources of revenue while helping you deliver better care to your most medically fragile patients – even when they can’t come to the office.
99490 – $63 WORK RVU – 1.00
Chronic care management services, at least 20 minutes of clinical staff time directed by a physician or other qualified healthcare professional, per calendar month, with the following required elements:
99439 – $48 (EXTENSION OF 99490) WORK RVU – .70
Non-Complex chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (limit 2x during service period).
99487 – $134 WORK RVU – 1.81
Complex chronic care management services, at least 60 minutes of clinical staff time directed by a physician or other qualified healthcare professional, per calendar month with the following required elements:
99489 – $70 (EXTENSION OF 99487) WORK RVU – 1.00
Complex chronic care management services, each additional 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (List separately in addition to code for primary procedure)
G0506 – $62 WORK RVU – .87
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to code for primary procedure)