Through CPT code 99490, established in January 2015, healthcare providers can be reimbursed by CMS for providing CCM services to qualifying Medicare patients with two or more chronic conditions.

Spending only 20 minutes per month in non-face-to-face contact with a patient with two or more chronic conditions is reimbursable at an average of $42.60 per month. Based on national data, the revenue potential for a single provider billing for CPT code 99490 is an additional $251,000. (See chart below.)

CPT code 99490 has very specific requirements, but they don’t have to be difficult with the right software. CivicHealth helps to meet these requirements with a platform that addresses every element of the CMS requirement, simplifying the process of caring for patients, documenting activities and qualifying for CCM reimbursement.

The CivicHealth platform specifically supports CCM and streamlines the process of executing and documenting the provisions stipulated to receive reimbursement. Groups that are entering time on an Excel spread sheet not only are unproductive, but they are exposing their practice or health system to potential denial of reimbursement by CMS – an expensive, time-consuming risk.