This service refers to Complex Chronic Care Management (CCM) provided on a monthly basis. It is intended for patients with chronic medical problems that require moderate or high medical decision-making. Specifically, it involves 60 minutes of time spent with the patient each month. Consequently, this approach ensures that patients receive comprehensive care tailored to their complex needs.
Once your clinical staff time reaches 60 minutes of complex care management, it has to be reported.
Esvyda may help you perform the following services:
Evaluate medical and/or psychosocial needs. This involves assessing your patients based on demographics, problems, family history, and the chronic level of their conditions. Additionally, it integrates seamlessly with your EHR, ensuring comprehensive and coordinated evaluations.
Avoid ED visits: Say goodbye to Frequent Flyers! Our solution helps reduce ER visits and hospitalizations. As a result, it saves costs for your practice and enhances overall efficiency.
Multiple illnesses: We assess, stratify, and manage your patients’ multiple chronic conditions. Consequently, this helps you provide personalized treatments tailored to their specific needs.
Esvyda may help you provide these capabilities in your practice with Chronic Care Management:
Calculate your complex chronic care management income per patient per month. This allows you to assess financial performance and optimize resource allocation for managing chronic conditions effectively.
| CPT CODE | NUMBER OF PATIENTS | 2017 N0N FACILITY PAYMENT | 2017 FACILITY PAYMENT |
| 99487 | 1 | $92.66 | $52.59 |
| 99489 | 1 | $46.87 | $26.63 |
| TOTAL PER MONTH | $139.53 | $79.22 |
Not billable codes by RHCs and FQHCs
| CPT CODE | SERVICE |
| CPT 99487 | Complex chronic care management services |
| CPT 99489 | Complex chronic care management services, each additional 30 minutes |
| G0502, G0503, G0504 and G0507 | BHI (Behavioral Health Integration) codes |
| G0506 | Comprehensive assessment of and care planning by the physician or other quali |
