Medicare Chronic Care Management Billing: Evidence-Based Workflows to Maximize CCM Revenue

Medicare Chronic Care Management Billing: Evidence-Based Workflows to Maximize CCM Revenue

Since the January 2015 rollout by CMS of new chronic care management (CCM) codes, many physician practices have been slow to engage in CCM.

Arcturus Healthcare, however, rapidly grasped the potential of CCM to improve patient outcomes while generating care coordination revenue, estimating it could earn up to $100,000 monthly for qualified patients treated in its four physician practices—or $1 million a year.

Medicare Chronic Care Management Billing: Evidence-Based Workflows to Maximize CCM Revenue Medicare Chronic Care Management Billing: Evidence-Based Workflows to Maximize CCM Revenue traces the incorporation of CCM into Arcturus Healthcare's existing care management efforts for high-risk patients, as well as the bonus that resulted from CCM code adoption: increased engagement and improved relationships with CCM patients.

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In this 25-page resource, Debra Burbary, RN, clinical quality assurance manager with Arcturus Health, describes the steps that led to her organization successfully billing Medicare for an initial set of enrolled patients, with more beneficiaries joining Arcturus's CCM rolls each month.  

In Medicare Chronic Care Management Billing: Evidence-Based Workflows to Maximize CCM Revenue, Ms. Burbary covers the following topics:

  • How CCM has helped Arcturus to extend its evidence-based, chronic care services;
  • The importance of physician leadership to CCM success;
  • Strategies for introducing patients to the CCM program and fostering engagement;
  • Common CCM billing and implementation challenges, including the time and cost necessary to meet CMS documentation requirements for CCM;
  • Leveraging CCM practices with other payors;
  • Program expansion plans, including opportunities to extend CCM to the 2,300 Arcturus patients who may qualify for the year-old Medicare Chronic Care Management billing codes;
and much more, including practical advice on common CCM issues, from technology applications to the avoidance of billing duplication to patients' reactions to the CCM program.

For more information or to order your copy today, click here now:
http://store.hin.com/product.asp?itemid=5115

Available in Single or Multi-User Licenses

A multi-user license will provide you with the right to install and use this information on your company's computer network for an unlimited number of additional workstations within your organization for a one-time fee. To have this valuable resource on your network, or to inquire about ordering bulk copies in print or Adobe PDF, please e-mail sales@hin.com or call 888-446-3530.

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