Remote Care
Management:
Simplified

We make it easy for providers to manage the care of patients with chronic medical conditions.

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ChroniCare takes the hassle out of remote care

Individuals with chronic medical conditions account for the bulk of healthcare spending and are often most at risk for adverse medical events. ChroniCare makes it easy and affordable for providers of all sizes to offer remote care management services and improve the quality and experience of their patients' care.

Chronic Care Management Workflow Management

Manage workflow seamlessly

Manage outreach schedules, view patient care plans, and keep track of the time spent with each patient from our easy to use interface. Patient interactions can be recorded with update notes and structured questionnaires.
Chronic Care Management Patient Enrollment

Enroll patients with ease

Onboard new patients and collect verbal or written consent. Patients can be enrolled manually, via an EMR feed or with an Excel template. Our process is structured to make patient sign-up simple!
Chronic Care Management Care Plan Management

Streamline care plan management

Develop and maintain electronic care plans based on specific disease and environmental criteria. Our intuitive care plan manager demystifies this critical remote care activity and makes it easy to share care plans with providers outside of your practice.
Chronic Care Management Workflow Management

Track and bill for clinical staff time

Monitor patient interaction simply with ChroniCare’s activity dashboard. ChroniCare simplifies billing by keeping track of the time spent with each patient per calendar month and automatically determining eligibility for Medicare billing codes.
Chronic Care Management Time and Billing Management

Stay connected with your patients

Interact with patients using the messaging interface, and stay updated on your patient’s health by viewing activity logs. Patients can also use ChroniCare’s portal to connect with their care team and access care plans and other important information about their conditions.

Remote Care Management for Medicare patients

Medicare has adopted several new procedure codes to encourage providers to play an active role managing the care of their patients with multiple chronic medical conditions. These reimbursements offer compensation for ongoing coaching, education, and care coordination services furnished by your remote care team.

Chronic Care Management
HCPCS G0506
Initial chronic condition assessment and care plan development
~$64 at enrollment
CPT 99490
20+ minutes of clinical staff time for eligible beneficiaries with two or more chronic conditions
~$42 per month
CPT 99487
First 60 minutes of complex CCM services provided to patients with especially high needs
~$93 per month
CPT 99489
Add-on code to CPT 99487 for each additional 30 minutes of complex CCM per month
~$47 per month
new
CPT 99491
30+ minutes of clinician time for eligible beneficiaries with two or more chronic conditions
~$84 per month
Remote Patient Monitoring
CPT 99091
30+ minutes of clinician time for the collection and interpretation of health data (eg: blood pressure, glucose monitoring)
~$58 per month
new
CPT 99453
Remote monitoring of physiologic parameters: initial set-up and patient education on use of equipment
~$19 at enrollment
new
CPT 99454
Remote monitoring of physiologic parameters: initial device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 days
~$64 per month
new
CPT 99457
20+ minutes of clinical staff time for RPM requiring interactive communication with the patient/caregiver
~$51 per month
Behavioral Health Integration
CPT 99484
20+ minutes of clinical staff time for general BHI services furnished to eligible beneficiaries with qualifying behavioral health conditions
~$48 per month
CPT 99492
70+ minutes of Collaborative Care Model (CoCM) behavioral heath services provided during the first month
~$162 for first month
CPT 99493
60+ minutes of CoCM behavioral heath services provided during subsequent months
~$129 per month
CPT 99494
Add-on code to CPT 99492 or 99493 for each additional 30 minutes of CoCM BHI per month
~$67 per month
Transitional Care Management
CPT 99495
TCM services with moderate medical decision complexity involving 30 of remote services and an an office visit within 14 days of discharge
~$166 after discharge
CPT 99496
20+ minutes of clinical staff time for eligible beneficiaries with two or more chronic conditions
~$235 after discharge

Despite the need for Remote Care Management, there has been virtually no adoption of Medicare remote care services

Chronic Care Management Spending Statistic
96% of Medicare spending
is attributable to patients with multiple chronic medical conditions
Anderson, Gerard. Chronic Care: Making the Case for Ongoing Care, Robert Wood Johnson Foundation. March 2010. https://www.rwjf.org/content/dam/farm/reports/reports/2010/rwjf54583
Chronic Care Management Readmission Statistic
99% of hospital readmissions for Medicare patients
are attributable to patients with multiple chronic medical conditions
Centers for Medicare and Medicaid Services. Chronic Conditions among Medicare Beneficiaries. 2015. https://www.cms.gov/Research-Statistics-Data-and-Systems/
 Statistics-Trends-and-Reports/Chronic-Conditions/Chartbook_Charts.html
98% of eligible medicare beneficiaries have not been enrolled in a Medicare CCM program
Chronic Care Management Medicare Icon
2/3 of Medicare patients have multiple chronic conditions
Centers for Medicare and Medicaid Services. Interactive CMS data. 2015. https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Chronic-Conditions/MCC_Main.html
+
Chronic Care Management Enrollment Icon
~503,000 patients have received one or more month of Medicare CCM services
Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2017, 81 Fed. Reg. 220, 80244. (Nov. 15, 2016). https://www.gpo.gov/fdsys/pkg/FR-2016-11-15/pdf/2016-26668.pdf
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Chronic Care Management presents a large financial opportunity for providers of all sizes:

Chronic Care Management financial illustration P&L income projections

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