Chronic Care Management

The cost of care for most chronic disease is quite high. Unmanaged diabetes, heart disease, and various other conditions often result in many expensive interventions, hospitalizations and poor outcomes. Many unmanaged chronic conditions lead to more emergency room (ED) visits, hospital admissions, more severe illness/co-morbidities and death.     Chronic Care Management, or CCM, is the coordination of care services, which are furnished outside of regular office visits....

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    Clinical providers and policymakers have been talking about the quality improvement and cost-saving benefits of chronic disease management for some time. Most medical practices are fully aware of the clinical and cost benefits of Chronic Care Management (CCM) and Remote Patient Monitoring (RPM); so why aren’t they putting them into practice, or able to successfully yield the benefits when they do? The ongoing challenge for...

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  CCM Overview    The Centers for Medicare and Medicaid Services (CMS) defines chronic conditions as those in which the patient is at significant risk of death, acute exacerbation/decompensation, or functional decline, and are expected to last until the death of the patient.    Chronic disease is rampant in the US, particularly among Medicare patients. Nearly 70% of Medicare beneficiaries have a minimum of two chronic conditions requiring care management,...

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Chronic Care Management (CCM) Remote Patient Management (RPM) Transitional Care Management (TCM) Annual Wellness Visits (AWV)     Medsien offers software and solutions for a suite of services - including CCM, RPM, TCM and AWVs.  Accurate coding is essential for proper reimbursement. Below you will find the current CPT codes for each service and program we provide.  These include any notable 2021 changes, clarifications or updates.      Chronic Care Management (CCM) CPT Codes                                                            Chronic...

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