CON604: Chronic Care Management Increases Practice Revenue and Quality of Care

Eligible for: ACMPE: 1|ACHE: 1|CEU: 1|CME(AAPC*): 1|CPE: 1.2|PDC: 1|PDU: 1
*MGMA is now offering our full conference for AAPC credit via our partnership with ACCME. Please see the event Continuing Education page for more information.
Traditional |Intermediate | Application

*Session will be included in the MGMA Summit.

Chronic condition patients need more support than can be provided in clinic visits alone. Chronic care management (CCM) is an effective tool to spot problems before they occur, reinforce treatment plans and encourage patients to stay on track. CCM also adds a recurring revenue stream to supplement practice cash flow. Medicare and many private payers make this program available, but it doesn’t come without effort. CCM requires practices to scan the EHR to identify patients who qualify, prepare suggested care plans and integrate this information into each clinician’s workflow. Compliance requirements can also be frustrating to manage. Practices must manage the compliance process, develop ongoing reporting and validate claims for reimbursement prior to submission. Additionally, CCM opens new opportunities to detect changes in patient health as they are occurring, using remote patient monitoring (RPM). RPM is a reimbursable service that contributes additional practice revenue and clinical insight for patients with the greatest risk of changes in their health status. The speakers will illustrate these points through the example of a large multispecialty group practice that has successfully implemented these programs.