Chronic Care Management Services
Give your patients 24/7 access to care management with ChartSpan and the nation’s largest and most successful Chronic Care Management (CCM) program. ChartSpan’s highly trained care team will reach out each month, telephonically, to your enrolled patients – those with multiple chronic conditions who are most in need of attention and support. We act as an extension of your care coordination team so that your patients with chronic conditions have access to a clinician, 24/7. ChartSpan’s turnkey solution handles every step of the program, from identifying eligible patients, and the initial outreach for enrollment, to providing around-the-clock access to nurses. We even support your Quality team in accomplishing your MIPS or QIP measures. We deliver a robust solution that doesn’t interrupt your daily, clinical your workflow, reduces staff workload, and delights your patients.
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Assistance with medication refills
- Support in achieving health care goals that you establish
- Assistance with transportation and mobility needs
- Assistance in finding home care
- Help in making doctor or specialist appointments
- Support for caregivers and family members caring for a loved one
- Assistance in accessing labs, x-rays and tests
- Continuously building a comprehensive care plan for each patient
Medicare beneficiaries must have two chronic conditions to be eligible to participate in Chronic Care Management. Since three out of four people older than 65 have two or more chronic conditions, a large number of your patients should be eligible to participate.
Additionally, the Chronic Care Management program requires that each enrolled patient have:
- An office visit within the previous 365 days
- 20 minutes per month of non-face-to-face care
- 24/7 access to care management
- Only one provider billing for CCM services (CPT code 99490)
Most practices that attempt an in-house CCM program enroll only 10% of their eligible Medicare patients. ChartSpan has learned that the best way to enroll CCM patients is with a group of trained Enrollment Specialists who are experts at engaging patients on the benefits of Medicare’s CCM services and overcoming patient objections. As a result, ChartSpan averages 60%+ patient enrollments. Our team will:
- Construct Eligible Patient Lists
- Reconcile Missing CPT Codes and Establish Coinsurance Estimates
- Obtain Patient Consent with Proven Marketing Strategies
- Manage the daily churn-in and churn-out of patients