About Chronic Care Management (CCM): Chronic Care Management is a service provided by Medicare to help patients reach their health goals and avoid going to the hospital. Here is some key information for you to know
Who gets CCM? Patients who have Medicare and have 2 or more chronic conditions qualify for CCM. A chronic condition is a health condition that is expected to last for at least 12 months. Some common high blood pressure, diabetes, high cholesterol, heart disease, asthma, COPD, atrial fibrillation (A. fib), joint disease, chronic pain, and many more.
What is CCM? CCM is the management of these chronic conditions outside of the regular office visits. The goal of CCM is to help patients reach their health goals even when they are not in the office. The Care Coordinators will work with each patient and their family members to create their own unique health care plan and provide resources and guidance to meet their goals.
How is CCM billed and what do I have to pay? CCM is billed to Medicare just like any other healthcare service. Medicare will cover 80% and the rest is a copay, which is either covered by a secondary insurance or billed to the patient. The copay is typically $14.59 or more depending on time spent on CCM in the month. CCM will only be billed to Medicare in those months that time is spent providing these services.
Important information:
-We have several CCM services available to you, including assistance with health-related financial concerns, coordination with and referrals to other healthcare specialists, assistance with important health-related family decisions, and much more.
-Only one practitioner can provide you with CCM services. You have the right to stop CCM services at any time (effective at the end of the calendar month)
-If you choose to stop CCM services from our office, any health concerns need to be addressed by scheduling an appointment and cannot be addressed over the phone. Let us know if you have any questions.