Chronic Care management-CPT Code 99487

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.

Establish or substantially revise a care plan. With Esvyda, your patients’ care plans are at the palm of your hand. Any updates are available to you and your patients in real time.

Additionally, Esvyda handles problems requiring moderate or high complexity Medical Decision Making (MDM). This ensures that all necessary adjustments are made efficiently and effectively.

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.

Multiple medication use: We manage patient adherence to medication through customizable reminders, alerts, and refill orders. Thus, this approach helps ensure that patients stay on track with their prescribed treatments.

Ability to perform ADL: Through our 24/7 telemonitoring services, patients and/or caregivers receive guidance in activities of daily living. Consequently, healthcare providers gain better insights into patients’ preferences, improving overall care.

Esvyda may help you provide these capabilities in your practice with Chronic Care Management:

Provide timely follow-up to ED visits or admissions. This ensures that patients receive the necessary care and support after their visit, improving overall outcomes and continuity of care.
Continuity of care is delivered to all caregivers involved through access to patients' health information anytime and anywhere. As a result, this ensures consistent and coordinated care across all touchpoints.
Integrate with your Electronic Health Record (EHR). Thus, you will have access to any patient's information. Consequently, this facilitates comprehensive and informed decision-making.
Use a standardized methodology for identifying patients. This approach ensures consistency and accuracy in patient management and care. Consequently, it enhances the overall effectiveness of your practice.
Have an internal care management process or function. This allows for streamlined coordination and oversight, ensuring that patient care is managed effectively and efficiently.
Use a standardized format in the medical record. This approach ensures consistency and clarity in documentation, facilitating better communication and coordination of care.
Be able to engage and educate patients and caregivers through friendly SMS, videos, and chat. By using these tools, you can provide clear and accessible information, enhancing patient understanding and involvement.
Coordinate care among all providers. By doing so, you ensure that each provider is informed and aligned, which enhances the overall effectiveness and continuity of patient care.

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