Medicare started paying for CCM back in 2015 with CPT 99490, but due to the onerous requirements in place then, most providers did not and still do not provide CCM services to their patients. They are missing a huge amount of money by not billing 99490, 99487 or 99489 in providing chronic care management.
RHC and FQHC coding for CCM in 2018 requires HCPC code G0511 instead of the 99490 or 99487 that non RHC clinics use
The average Medicare allowed amount for 20 minutes of CCM is $43.61. The lowest in the country is in Mississippi at $38.55. The highest is in Alaska at $55.67.
Rural Health Clinics & FQHC Clinics in 2018 have an allowed of $62.28 for code G0511 and they can use our service!
Due to the fact that most clinics with 750 Medicare patients would need to hire 3 full time nurses (one nurse can max out at 225-250 patients per month at 20 minutes per patient) and the cost associated with having high-end EMRs, it's not profitable for most practices to do CCM without using a service like we recommend.
For a couple of years, we've been using and recommending Chartspan for our clients. Chartspan does ALL of the work (except posting the payments), yet the clinic still nets a nice profit for the work that Chartspan does. CCM is the ONLY service that Medicare allows pass-through billing for, simply because if they didn't do so, Medicare patients would not benefit from CCM services.
We have used other companies, but the one that we believe does more for our clients and more for the patient is Chartspan. We work closely as an intermediary between our clients and Chartspan and the price is the same whether you use us or not - but we want you to use us so we can help make sure your transition is smooth. On top of that, Chartspan does pay us per patient.
So that you can see how this benefits your patients as well as how it helps your clinic, let us set you up for a FREE demonstration online of the Chartspan process.
You will be surprised at how easy it is - since Chartspan does ALL of the work. They call your patients. They contact other caregivers. They reduce the number of RX Refill calls you get. They serve as an extension of your office and patients love them.