Chronic Care Management

Eazydoc helps you create personalized care plans to better manage a patient’s chronic conditions in order to improve outcomes and increase patient satisfaction.

Chronic Care Management

Eazydoc helps you create personalized care plans to better manage a patient’s chronic conditions in order to improve outcomes and increase patient satisfaction.

Chronic Care Management

Eazydoc helps you create personalized care plans to better manage a patient’s chronic conditions in order to improve outcomes and increase patient satisfaction.

47%

About 47% of healthcare organizations already use predictive analytics

25%

A majority of healthcare organizations believe that predictive analytics will save them 25% or more in annual costs over a five-year course

90%

A 2017 study found that about 90% of payer and provider organizations will adopt some type of big data analytics over the course of five years

6/10

40%

$3.5T

6 in 10 adult Americans have one chronic condition

4 in 10 adult Americans have two or more chronic conditions

Chronic conditions are the leading contributors to the nations $3.5 trillion in annual health care costs

What is Chronic Care Management

Chronic care management (CCM) is a crucial element of primary care in which a coordinated care plan with non face-to-face services can be offered to patients with two or more chronic conditions.

Identify qualified patients and start the enroll process

Collect critical health information and prepare treatment plans

Routine checkups and keep patient engaged in their treatment plans

Provide ready-to-bill reports

Identify qualified patients and start the enroll process

Collect critical health information and prepare treatment plans with collaboration providers

Routine checkups and keep patient engaged in their treatment plans

Provide ready-to-bill reports

CCM Plans Include

A comprehensive care plan will include a detailed list of the problems, expected outcome, treatment goals, symptom and medication management, coordinated interactions with outside resources and health care providers, detailed descriptions of the coordinated care plans, and periodic reviews and evaluations. Eazydoc will create a personalized care plan for the patient with:

  • Organized patient health records
  • A comprehensive electronic care plan
  • Proper coordination amongst the care team
  • Virtual non face-to-face services
  • Continuous patient support to improve health
  • 24/7 access for patients to receive care in case of emergencies
  • Patient medication compliance
  • Monthly check-ins
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Benefits

CCM provides tremendous benefits to both the patient and the care provider, including but not limited to:

  • Multidisciplinary team care and coordination
  • Patients receive a comprehensive care plan
  • Improved communication between patient and healthcare providers
  • Real-time monitoring of patient data and vitals
  • 24/7 care availability for patients
  • Increased patient engagement and medication adherence
  • Reduced hospitalizations and emergency room visits
  • Augment patient satisfaction and compliance
  • Sustain and grow your practice with additional resources to offer patients
  • Overall decrease of medical costs
  • Patients gain a holistic knowledge of their health

Benefits

CCM provides tremendous benefits to both the patient and the care provider, including but not limited to:

CCM & MIPS

The Merit-Based Incentive Payment System (MIPS) is a payment program that is used by CMS to establish payment adjustments for qualified clinicians under the Quality Payment Program. The payment adjustments will be based off of an overall score under MIPS determined by the clinician’s engagement and performance levels. CCM can help to improve a practitioner’s MIPS score because the two programs share similar goals and qualities. MIPS scores are based off the following performance categories:

Quality
Patient results, safety, and experiences, as well as overall efficiency, effective care coordination, and proper use of medical resources

Improvement Activities
Use of certified EHR, patient engagement, chronic care and preventative care management

Promoting Interoperability (PI)
Effective use of certified EHR technology with successful interoperability

Cost
Cost-effective usage of resources

CCM can significantly improve a practitioner’s MIPS score because the performance measures share common metrics, including but not limited to:

  • Medication reconciliation
  • Following a comprehensive care plan
  • Providing patients with 24/7 care access
  • Coordination amongst care team and throughout settings
  • Use of certified EHR technology
  • Reducing hospital admissions and readmissions

CCM & Remote Patient Monitoring

Remote patient monitoring (RPM) devices enable a patient’s health and vitals to be monitored from the comfort of their own home while the information gets electronically transmitted through a secure network to the healthcare team. Incorporating RPM in CCM can considerably improve a patient’s health and quality of life because of its vast benefits. Centers for Medicare and Medicaid Services (CMS) permits both CCM and RPM to be billed together as the services are complementary of each other.

Constant access to patient’s real-time vitals

Augments patient engagement

Healthcare team immediately notified if there is an emergency

Reduces overall healthcare costs and decreases travel time

Promotes proactive care rather than reactive care

Provides comfort, convenience, and freedom to patients

CCM & Remote Patient Monitoring

Remote patient monitoring (RPM) devices enable a patient’s health and vitals to be monitored from the comfort of their own home while the information gets electronically transmitted through a secure network to the healthcare team. Incorporating RPM in CCM can considerably improve a patient’s health and quality of life because of its vast benefits. Centers for Medicare and Medicaid Services (CMS) permits both CCM and RPM to be billed together as the services are complementary of each other.

Constant access to patient’s real-time vitals
Healthcare team immediately notified if there is an emergency
Promotes proactive care rather than reactive care
Augments patient engagement
Reduces overall healthcare costs and decreases travel time
Provides comfort, convenience, and freedom to patients

CCM & Remote Patient Monitoring

Remote patient monitoring (RPM) devices enable a patient’s health and vitals to be monitored from the comfort of their own home while the information gets electronically transmitted through a secure network to the healthcare team. Incorporating RPM in CCM can considerably improve a patient’s health and quality of life because of its vast benefits. Centers for Medicare and Medicaid Services (CMS) permits both CCM and RPM to be billed together as the services are complementary of each other.

Constant access to patient’s real-time vitals
Promotes proactive care rather than reactive care
Healthcare team immediately notified if there is an emergency
Augments patient engagement
Reduces overall healthcare costs and decreases travel time
Provides comfort, convenience, and freedom to patients

CCM Reimbursements & Codes

CCM can greatly improve the health outcomes in patients with two or more chronic conditions, and as such you will receive payments in support of the services offered. Health care professionals are able to be separately paid for CCM services which can improve a Medicare patients’ overall health outcomes and quality of life.

Billing Code

Payment
(Non-facility Rate)

Clinical Staff Time

Care Planning

CCM
(CPT 99490)

$43

At least 20 minutes of clinical staff time in qualifying services

Established, administered, revised, or monitored

Complex CCM
(CPT 99487)

$94

60 minutes

Established or significantly revised

Complex CCM Add-On (CPT 99489, use with 99487)

$47

Each additional 30 minutes

Established or significantly revised

Why us

Eazydoc provides the best solutions for medical practices to improve patient volume and engagement, practice management, program implementation and much more. Our goal is to simplify the workflows and implement them seamlessly to your practice and ultimately release the burden of providers from complicated operation tasks as well as generate potential revenues.

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