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The Centers for Medicare and Medicaid Services (CMS) released a program in 2020 called Principal Care Management (PCM), open to primary care providers and specialists. This program was specially developed to serve people with one chronic condition, supplementary to the Chronic Care Management (CCM) program (which focuses on two or
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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).