eclinicalworks CCM- Chronic Care Management Program Introduction

Transcription

1 CCM- Chronic Care Management Program Introduction

2 CCM- The Context Financial & Human Cost of Chronic Conditions 70% Deaths 67% Chronic Patients 98% Hospital Readmissions 93% of Spending

3 Medicare Solution & Provider Opportunity Beginning Jan. 1, 2015, Medicare & Medicare Advantage FFS Plans started paying providers $42.00 per patient per month* for non-face to face Chronic Care Management (CCM) services. *Patients with 2 or more chronic conditions.

4 Potential Revenue $$$ for Practices $42 per qualified patient per month Avg. number of Patients per physician=3300 Avg. number of Medicare Patients (22%)= 725 Avg. number of Eligible patients(67%)= 490 Per Physician Annual Opportunity 200 Patients= $100k 500 Patients=$252k 1000 Patients=$504k

5 What you need to do? Collect Consent from Eligible Patients Develop capabilities to perform CCM Provide & Bill for 20 min of CCM services every month

6 Scope of service Use of Certified EHR Informed Consent 24/7 access to Care Management Services Continuity of care with a designated member of the care team Systematic assessment of health needs and preventive services Electronic care plan & Share with other Providers Management of care transitions Coordination with home and community-based clinical service providers Enhanced communication opportunities for patient and caregiver

7 Provider Eligibility Physicians ( Any Specialty) Nurse Practioner (NP) Physician Assistants (PA) Advanced Practice Registered Nurses (APRN) Clinical Nurse Specialists (CNS)

8 Who can perform CCM services Examples of CCM qualified activities towards 20-minute requirement: Licensed Clinical Staff MAs (1) performing medication reconciliation and overseeing the beneficiary s self management of medications; (2) ensuring receipt of all recommended preventive services; and (3) monitoring the beneficiary s condition (physical, mental, social). PAs RNs LSCSWs LPNs APRNs Subject to general supervision from a Physician

9 Chronic Care Management Solution by CCM Eligible patients Dashboard CCM Campaigns & Consent Management Care Planning CCM Activity Time Tracker CCM Monthly Billing Automation

10 Identify eligible patients with two or more chronic conditions

11 Enroll patient into CCM program

12 Manage CCM Program Care Plan Visit

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15 Manage CCM Program Start Timer and Document care plans * Copyright of eclincalworks Not for public distribution eclincialworks

16 Manage CCM Program Start Timer and Document care plans

17 Manage CCM Program Start Timer and Document Follow up Actions

18 CCM Activity Audit Trail * Copyright of eclincalworks Not for public distribution eclincialworks

19 Manage CCM Program Start Timer and Document care plans * Copyright of eclincalworks Not for public distribution eclincialworks

20 Automated Billing Once 20 minutes are completed, CCM Billing Automation will create a claim in Pending Status

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22 Key Benefits Automation of workflow Faster recruitment of patients Easy to use and Integrated Care Planning

23 Product Deployment Timeline Available Now! 99 cents per patient* per month Free Implementation & Training (Group Webinars & Recorded Videos) *Invoiced for patients 20 minutes were completed and claim was created