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October 18, 2020

Woman getting bandage wrapped on her wound
Blog

2020 Updates on CMS Chronic Care Management – What to Know

Chronic care management or CCM aims to help patients improve their quality of life. With continuous monitoring, patients can reduce their symptoms, sleep well, and become more physically fit. Care providers use codes to differentiate among patients’ needs. They tag cases with codes 99490, 99487, 99489, and 99491.  Providers assign the first type,

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Profit Calculator Assumptions: 40% of total Medicare patients enrolling is based on (i) Medicare Chart Book’s data showing that ~68% of medicare patients qualify for CCM (2 or more chronic conditions), and (ii) that ~40% of eligible patients will enroll.

For typical providers, $46.67 of net profit per patient per month is based on a Medicare reimbursement per patient per month (national average) for various care management CPT codes.

CPT and other codes, descriptions and other data are copyright 2011 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA).