Chronic Care Management
Our comprehensive CCM solution delivers a quality experience to patients living with chronic conditions.
Improved patient quality of life
Seamless integration implementation
Boosted output via recurring revenue
What is Chronic Care Management?
The Centers for Medicare & Medicaid Services (CMS) recognizes Chronic Care Management (CCM) as a critical component of care that contributes to better health and care for individuals. CCM allows healthcare professionals to be reimbursed for the time and resources used to manage Medicare and Medicaid patients’ health between face-to-face appointments.
CCM services may be furnished for Medicare patients with two or more chronic conditions who are at significant risk of death, acute exacerbation/decompensation, or functional decline.
TrueHealth’s activities include those that support comprehensive care management for patients outside of the office setting. Services include interactions with patients by digital app, telephone, and/or secure email. The goal of our program is to provide coverage for the many non-face-to-face interactions that are needed to optimally manage multiple chronic conditions, as well as promote patients health while reducing costs.
Comprehensive care management for patients in the comfort of their own home, work, or while they on the go. Providing patients 24/7 access to their dedicated care team to address urgent needs.
Improved Patient Satisfaction
Our care team regularly checks in with patients on your behalf. Services include review of medical records, test results, and/or provide self-management education and support.
Ease Clinical Burden
Our services will help bridge the gap in the continuum of care for patients. We will interact and work cohesively on your behalf with the patient’s other healthcare providers to exchange healthcare information, as well as manage of care transitions and coordination of home and community based services.
Bridging the Gap in the Continuum of Care
Designed for Success
TrueHealth’s customized and fully integrated platform and our dedicated Care Team offer significant improvements in patient care, along with simultaneous intelligent revenue growth and cost reduction.
Improved Medicare Compliance
TrueHealth records and stores detailed documentation, audit trails and recordings of all patient communications, so you never have to worry about activities done for patients at any given time.
Automated Billing and Reporting
At the end of every month, we automatically create and drop claims with appropriate codes through your own EHR.
Intelligent Revenue Tracking
Our revenue tracking dashboard provides real-time insights on revenue performance, allowing practices to make informed decisions and optimize revenue streams.
Connect seamlessly with our comprehensive EHR ecosystem
With an ever-growing number of technology integrations, you can get up and running with absolutely no downtime.
We have a very simple implementation process for our CCM Solutions and can go live within days.
Our team will manage all the aspects (eligibility, announcements, enrollment, etc.) so this will not take any time from you or your staff.
1. Eligibility
THC intelligently identifies your patients' eligibility based on their chronic conditions and insurance coverage to maximize your practice coverage.
2. Enrollment
THC's Enrollment Specialists contact your patients on your behalf and walk them through the enrollment process effortlessly.
3. Engagement
Your patients will be assigned to a dedicated Certified Care Team to improve engagement and deliver personalized care.
Reimbursement
*Please Note: Reimbursement amounts listed represent a national average; exact reimbursement amounts vary by geographic region. Amounts are based on CMS 2023 non-facility pay rate and are subject to change.
CCM CPT CODES
CPT CODE
99490
99439
99489
DESCRIPTION
Non-complex CCM service directed by Physician or qualified staff; first 20 minutes
Modifier code for every additional 30 minutes of complex CCM delivered
Complex CCM for the first 60 minutes with a patient requiring moderate to difficult medical decision making
Modifier code for every additional 20 mins of non-complex CCM delivered.
BILLING FREQUENCY PER PATIENT
Once each 30 days
Only twice each 30 days
Once each 30 days
Multiple times per calendar month
AVG.REIMBURSEMENT ($)
$62*
$48*
$130*
$70*