In 2015, the Center for Medicare and Medicaid Services (CMS) implemented Chronic Care Management Services (CCM), where providers could be compensated for non-face-to-face interactions with patients. Patients with two or more chronic conditions are eligible to receive the service. For twenty minutes each month, providers can help patients manage their conditions, stay on track with their care plan, and manage transitions of care while getting roughly $42 per patient per month (rates vary based on your locality). Providers who may bill for the service include physicians, Certified Nurse Midwives, Clinical Nurse Specialists, Nurse Practitioners, and Physician Assistants.
Offering CCM services is one way an organization can start the shift to value-based contracts. By providing 20 minutes of care for patients and getting compensated as part of the fee schedule, practices may generate revenue and get started coordinating care.
In 2017, the program will undergo some important changes to promote it. First, several enrollment requirements will become simpler, making it easier for providers to enroll patients. Further, for Community Health Centers and Federally Qualified Health Centers, the person who performs the services will only need to be under the general supervision of the physician, rather than direct supervision. Finally, it is increasingly being adopted by commercial payers, too. For example, each of the five major commercial payers in Texas has implemented the program.
Greenway Health is here to help you bill for the service, regardless of where you are on the path to value. For organizations just getting started or that may not have staff to deliver the program, we offer Greenway Care Coordination Services, CCM Services powered by MD Revolution. Patients who have engaged with our nurses have demonstrated real clinical results. For example, patients who have engaged in our CCM service have seen statistically significant improvements in blood pressure and blood sugar levels. Even more, in one case controlled study patients saw a reduction in hospital admissions and readmissions, as well as shorter inpatient stays.
To learn more about Greenway Care Coordination Services, click the Request More Info button below.
For practices that are farther along in the transformation, we also offer Greenway Community. To learn more about Greenway Community and how it helps you manage all your value-based contracts, click here.