PrimeCare: Care Management Services
Did you know?
Beginning January 1, 2015, Medicare now reimburses providers for chronic care management (CCM). CCM payments are for delivering specified non-face-to-face care to qualified beneficiaries over a calendar month. We ensure that you have the tools needed to get the per beneficiary per month payment by providing a patient-centered solution that combines innovative technology and 24/7 care coordination.
Historically, payers have bundled payment for non-face-to-face care management services into the payment for standard evaluation and management (E&M) office visits. Lack of reimbursement coupled with costs of staffing and technology investments deterred providers from delivering these services.
PrimeCare addresses these issues and offers your practice customized solutions for care management and population health services.
Research studies have shown that proper care management reduces the total cost of care for patients suffering from chronic disease, which improving their overall health. In spite of these proven studies, patients receiving care management services remain the exception, not the rule.
Five Specified Capabilities required by CMS for a provider to bill for CCM
Three core requirements a provider must meet to bill for CCM
Our PrimeCare experts will help you reduce your risk of failing a RAC audit, increase your revenue by ensuring your invested time is billable, and reduce your costs. PrimeCare will also improve overall quality of care by allowing patients to speak directly with our Care Coordinators at a time that is convenient for them.