New Medicare Reimbursement for Chronic Care Management (CCM)
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Care coordination is key to health care delivery and payment reform. As an incentive to medical practices, CMS now allows reimbursement for performing these vital functions when they are billed using the new Medicare CCM services code. For Calendar Year 2015, Medicare will pay an average of $42.60 for each eligible patient receiving 20 minutes of CCM services within a 30 day period. Also, this reimbursement can be billed for each subsequent 30 day period that CCM services are delivered. Providing CCM services will allow your practice to:

• Increase practice revenue up to $5,000 per provider/month
• Deliver better patient care
• Meet performance measures
• Improve patient satisfaction
• Shift more to patient-centered care
• Prepare for value-based payer contracts

Providing CCM services is the best way for a practice to prepare for payment reform – while significantly increasing practice revenue from day one.

Chronic Care Management Clinical Services Manual

Vigilance Health is a leader in the CMS initiative to provide CCM services to all eligible Medicare patients. We are committed to achieving this goal by offering a product that allows medical practices to create a CCM Program quickly and profitably. This exclusive manual provides key insight into how to implement CCM services in your organization, including:
• How to identify and enroll patients
• Meet requirements to bill Medicare for CCM services
• What EHR capabilities and certifications are required
• How to create an electronic care plan
• Determine current CCM activities that can be paid for
• Create audit forms to support billing
• Exhibits, forms, and templates
• Patient education materials

The CCM Clinical Services Manual includes one (1) hour of consulting support that includes but is not limited to:

ccm• Program Overview
• Financial Projection and Goal Setting
• Implementation Guidance

Fully Out-Sourced CCM Service

For practices wishing to take advantage of the CCM reimbursement but cannot meet the personnel or administrative requirements to provide CCM services, Vigilance Health offers a fully outsourced solution. This includes physician supervised care coordinators that perform all non-face-to-face care management services as well as all administrative and billing oversight. Vigilance works with practices to create a CCM program that best serves the organization. We are committed to providing compassionate and quality care that strengthens the provider-patient relationship.


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