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Provider Resources

Chronic Care Management

With old age come many health problems that can’t usually be avoided. The top 10 chronic conditions that patients covered by Medicare suffer from are: high blood pressure, high cholesterol, arthritis, diabetes, heart disease, kidney disease, depression, heart failure, emphysema, Alzheimer’s/Dementia. Any patient suffering from two or more such conditions

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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).