Chronic Care Management

Patients with 2 or more chronic conditions are eligible for CCM. Our care coaches will engage with them every month to keep them on track with their medications, remind them of their office visits and help them follow the doctor's care plan

CCM Reimbursement Calculator

Our all-inclusive Chronic Care Management (CCM) program is designed to work effortlessly alongside your existing practice operations. From patient sign-ups and educational resources to devising care strategies and managing medication renewals, we’ve got it covered – allowing your team to concentrate on direct patient care. With meticulous documentation of every patient interaction, we provide periodic reports, ensuring you remain updated on the exemplary care your patients receive as they navigate their chronic ailments.

Identify Patients

Our enrollment team has experience with many different EHR’s in the market and they can run reports out of them based on Diagnosis codes to identify the patients who would most benefit from Remote Chronic Care Management Services. They can drill down patients by insurance, appointment and those with multiple chronic conditions who need the most help.

Patient Enrollment

Healthmote’s enrollment team will send out SMS , snail mail letters and call patients to explain the importance of care management and the benefits they will have from being a part of the program.  Providers can also send orders from the EHR’s or fax in the order forms for newly enrolled patients.

Insurance Verification

Our teams will run a detailed insurance verification before enrolling a patient to make sure that their insurance is active and will flag any high deductible or high copay plans to the practice.

Compliance

We take compliance very seriously and is always the “top of the mind” while making any decisions.Our software is designed based on the readings of  CCM Medicare guidelines and our staff keeps upto date with Medicare’s MLM’s.

Care Plan Creation

Healthmote’s software is driven by templates and wizards which capture all aspects of care planning.  It has checkpoints to capture important elements of a patients condition and it can be edited and reviewed.

Time Capture

Automated clock in the software only captures time which is spent by certified clinicians. All this efforts seaks to our focus on compliance

Billing Support

Healthmote’s platform creates automatic reports based on time spent in the month. Our team will work with your billers to make sure the codes are billed properly and will help them demystify any denials.

Chronic Care Management CPT Codes

99490

99490

20 min Clinical Staff CCM

99439

99439

Additional 20 min Clinical Staff CCM

Complete Turn-key

Remote Monitoring & Care Management

IDENTIFY & ENROL

Our experienced onboarding team will help set up your goals, identify patients from your EHR based on diagnosis, age, insurance, etc., and reach out to them for consent and education.

ONBOARDING

Pre-configured devices are shipped to patients and do not require a phone or Wi-Fi. We call the patients to walk them through their first reading.

VITALS REVIEW

Healthmote's care coaches monitor the readings coming to the portal, motivate the patients to take readings, and follow the escalation path for abnormal.

CARE MANAGEMENT

Healthmote's care coaches will remote patient engagement around their care plan every month.

BILLING

Healthmote has an advanced, automated, and compliance-driven billing module. We send your biller a monthly report of services rendered.

Frequently Asked

Questions

What is RPM?

Remote Physiologic Monitoring, generally known as Remote Patient Monitoring allows a practice to monitor a patient’s vital signs without them coming to the office or sending them over email / patient portal. Manual submission of vitals measurement is not considered Remote Patient Monitoring. Real-time monitoring of vitals like Blood pressure allows healthcare providers to see the daily measurements and allow them to adjust medications armed with real data instead of just the reading they take during an office visit.

What are common patient data types collected via RPM?

Data such as, daily recording(s) or transmission are collected via RPM

Who can deliver RPM services?

Physicians and other qualified Healthcare professionals (QHCPs) can provide and bill for RPM. Clinical staff can furnish and manage RPM under the general supervision of the billing provider.

Who can receive RPM services?

Any patient. With that said, a provider should only order/prescribe RPM if captured data is directly relevant to managing a patient’s condition(s) (i.e., medical necessity), with such justification documented in the medical record.

What are the benefits of using RPM?

This program is the new standard of care that many Doctors are using & after the pandemic. This service helps Doctors monitor the hypertensive medical status of their patients. The BP parameters will be transmitted to the doctors computer in real time. Also, in the RPM service; patients will have a clinician( RN , LPN & MAs)  available on a monthly basis. Clinicians will review BP readings and help patients with medical concerns or their lifestyle changes.

What payers cover RPM and how is it reimbursed?

Although most of the payers cover RPM services, deductibles and copays are to be looked out for, for commercial insurances. Claims are sent to insurances for reimbursement based on the eligible daily recording(s) or transmission, one time set up and education on the use of the equipment, and monthly care management

Read More RPM FAQs

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