Care Management Blog

Chronic Care Management (CCM) can be an effective way to embrace value-based care, so it’s important to understand the program's rules and regulations, as well as the different series of CCM codes your practice can bill for.

As a medical care provider, understanding billing codes can help your practice project revenues and optimize your staff’s capacity. 

The Centers for Medicare & Medicaid Services (CMS) announced key reimbursement rates, additional CPT codes, two program expansions, and an entirely new care management program, effective January 1, 2023.

Chronic Care Management (CCM) can be difficult to provide without a care coordination software solution. And with a range of price points, it can be challenging to understand how much you should pay for a quality tool.

Value-based care requires providers to meet specific quality performance metrics. Failure to do so can negatively impact financial reimbursements and disappoint patient expectations. But even with these penalties, some organizations struggle to adopt this approach to primary care, as the course to do so isn't always straightforward.

According to the National Academy of Medicine, consistent patient engagement can influence improved outcomes and reduce costs for chronic disease management. However, this participation “remains limited.”  

Without software, Chronic Care Management (CCM) — or any other care management service —  will be difficult to deliver to your patients. Your practice or organization will need to leverage a digital care coordination solution to implement your program. 

Implementing value-based care can help providers improve patient health and reduce care costs, but it has introduced new, overwhelming challenges to physician practices. 

In this video, we look at the return on investment (ROI) when your practice offers a Chronic Care Management (CCM) program for one year.