The Triple Win: How CCM Benefits Patients, Practices And Bottom Lines
In 2015, Primary Care Physicians became eligible to receive Medicare reimbursement for non-face-to-face Chronic Care Management (CCM) Services for patients with two or more chronic conditions under current procedural terminology (CPT) Code 99490. An additional CPT Code (99487) was added in 2017 for Complex CCM, enabling physicians to bill for additional 30 minute increments of non-face-to-face time […]
Leveraging Pharmacist-Led Chronic Care Management (CCM) Services To Decrease Acute Care Stays For Diabetic Patients
As the national healthcare model has transitioned from volume-based to value-based care, the role of the physician has also shifted. In the value-based care model, physicians are held accountable to deliver the best outcome at the lowest cost. The role of the physician has been redefined to include stewardship of the healthcare economy. November is Diabetes […]
Why Should Physicians Participate in Medicare’s Chronic Care Management?
The US healthcare system is designed to serve people with short-term, acute medical problems. The system is less equipped to provide care to people with long-term chronic conditions. The statistics are alarming. These patients “…account for 81% of hospital admissions; 91% of all prescriptions filled; and 76% of all physician visits” The “Silver Tsunami”, as […]
Top 10 Reasons Why Your Practice Should Consider Chronic Care Management (CCM)
According to the Center for Medicare and Medicaid Services (CMS), 45 million of the 60 million eligible Medicare beneficiaries have 2 or more chronic conditions. These conditions affect a patient’s quality of life. They are often complex, costly, time-consuming to manage and frequently require after hours care. Independent studies indicate that primary care physicians are […]
Chronically ill Patients Thrive With Chronic Care Management & Risk Stratification
As a physician, you face a caseload with multiple risk profiles, conditions and age demographics. While some patients only require an office visit, others require ongoing specialty care. Patients rely, more than ever, on your medical wisdom and assessment of their conditions. Handling this diversity of conditions is not beyond your skills, but seems to […]
Chronic Care Management vs. the Army of One
By Marshall Eidenberg, OD In early 2001, I was a soldier in the Army when a new advertisement showed up on TV featuring Corporal Richard Lovett as a hard-charging soldier running in the desert and making the statement, “… I am an Army of one.”1 The problem was that as good as he was alone, […]
2021 Highlights of Chronic Care Medicine
1. Fee-for-service reimbursement falls as quality performance pay increases A 3.75% cut in the 2022 Medicare conversion factor, which calculates reimbursement for procedures under fee-for-service, is mandated under a budget neutrality provision and comes after a pay bump from Congress that expires in 2022. Meanwhile, quality performance pay is increasing. CPA healthcare analysts at the Tennessee […]
PharmDs – Crucial to Chronic Care Management Services: A Doctor’s Perspective
PharmDs Earn MVP Status By Marshall Eidenberg, OD Chronic care services managed by a doctor of pharmacy, PharmD, is a critical addition to a medical practice, but they are not widely engaged with these responsibilities. With the challenging number of diagnoses and medications that Medicare patients take, it is essential to have a team member […]
Chronic Disease Solutions: Spotlight on COVID-19 and its Impact on Heart Disease
By Richard Korecky, PharmD, BCGP COVID-19 has profoundly changed the world we live in today and will continue to leave an indelible mark long after the pandemic has ended. One area of concern for both health care providers and their patients is the long-term effect of COVID-19 infection on patients with chronic diseases. Acute cardiac […]
Improving Quality of Life through Chronic Care Management
Aging is a privilege, not a guarantee–Chronic Care Management improves quality of life By Marshall Eidenberg, DO, MBA As one has the privilege to get older, chronic conditions will go up. Typically, one per decade after one’s 30s. Each situation typically involves one or more medications for each chronic health condition. And with more medicines, the […]