Medicare reimburses providers for the provision of coordinated care services to patients with two or more chronic conditions.
CCM is a calendar month program that tracks the patient’s health issues through a comprehensive patient-centered care plan, reimbursing for non-face-to-face interactions related to the patient’s health.
Non-face-to-face interactions include (but are not limited to) monthly clinical review, telephone calls, referrals, and prescription refills.
Examples of the most common chronic conditions in the United States include diabetes, high blood pressure, hypertension, heart disease, heart failure, COPD, and asthma.
Physicians and the following non-physician practitioners may bill CCM services:
Note: Only one practitioner may be paid for CCM services for a given calendar month. The practitioner can only submit one CCM claim per month.
You can use the following reimbursement structure: