Chronic care management is a program the Centers for Medicare & Medicaid Services (CMS) proposed. It is designed for people suffering from two or more chronic conditions in the past twelve months. These conditions have the potential to cause severe harm or death. Physician Practioner, Non-physician practitioners, physician assistants, and certified Nurs can offer these services. CCM services are mostly non-face-to-face patient consultations and monitoring services. They can be billed for at least 20 minutes of provider time spent.

Some of the Examples of chronic conditions that can be managed in CCM but aren’t limited to:

Asthma

Cancer

Cardiovascular disease

Depression

Diabetes

Hypertension

Infectious diseases like HIV and AIDS CPT

Physicians and Non-Physician Practitioners can provide CCM services and be billed for the same. Below are some examples of CCM service providers other than Physician.

Certified Nurse Midwives

Clinical Nurse Specialists

Nurse Practitioners

Physician Assistants

Chronic care management services can be primarily managed over the phone and video calls. The provider can bill these non-face-to-face consultations once they complete min 20 mins spend for each patient.

Yes, Part B of Medicare covers CCM. It indicates that Medicare will cover 80% of the cost of the service. You will be responsible for a 20% coinsurance payment. If a visit costs $50, you will pay $10; Medicare Part B will cover the remaining $40.

Research has revealed that 117 million adults suffer from at least one chronic condition. Of those, a quarter have two or more chronic conditions. To manage those chronic conditions and provide better health outcomes to those people, CMS introduces the Chronic Care Management program.

Healthcare professionals can provide better care to patients by offering CCM services. Patients can get quality non-face-to-face services without the hassle of regular office visits.