What is required to bill CPT99490?
Chronic care management services, at least 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month, with the following required elements:
death of the patient
CCM Service Elements - Highlights
The CCM service is extensive, including structured recording of patient health information, maintaining a comprehensive electronic care plan, managing transitions of care and other care management services, and coordinating and sharing patient health information timely within and outside the practice. CCM services are typically provided outside of face-to-face patient visits, and focus on characteristics of advanced primary care such as a continuous relationship with a designated member of the care team; patient support for chronic diseases to achieve health goals; 24/7 patient access to care and health information; receipt of preventive care; patient and caregiver engagement; and timely sharing and use of health information.
Structured Recording of Patient Health Information
Record the patient’s demographics, problems, medications, and medication allergies using certified Electronic Health Record (EHR) technology.
Comprehensive Care Plan
Access to Care & Care Continuity
Comprehensive Care Management
Large Untapped Addressable Market
Value to Physicians
Most of the 209,000 primary care physicians cannot meet the technology and services requirements to bill for this new code. This doesn’t even include the number of specialists who can also utilize this code. Less than 1% of these physicians are taking advantage of this program. With our partner’s assistance, on average, providers can earn $250K+ for every 500 patients annually.
Want to join DP Resources in Chronic Care Management?
Please call or email:
Diane Plante, President
DP Resources, Inc. / DP Medsolutions
What is Chronic Care Management?
The Centers for Medicare and Medicaid Services (CMS) recognizes chronic care management (CCM) as one of the critical components of primary care that contributes to better health and care for individuals as well as reduce spending.
On January 1, 2015 The Centers for Medicare and Medicaid Services (CMS) created billing code CPT99490 to cover CCM.
CPT99490 is Here to Stay...CPT9940 is 100% paid for by Medicare. “We are committed to supporting primary care and we have increasingly recognized care management as one of the critical components of primary care that contributes to better health for individuals and reduced expenditure growth.”
- CMS, 77 FR 68978.