Chronic Care Management St. Louis
PCCM provides Physicians with an off-site, dedicated clinical staff employed by PCCM. Under the Medicare regulations for provision of Chronic Care Management Services this staff qualifies as working incident to the Physician. The 20-minutes of non- face to face care coordination services they provide monthly for the Physician’s Patients is billable to Medicare by the Physician under CPT 99490.
PCCM’s contract with a Physician includes identifying eligible Patients, risk stratification based on HCC score (Hierarchical Condition Category), materials required for electronic or physical capture of Patient consent, initial care plan personalization, 20- minutes of non-face to face care coordination monthly using qualified clinical staff, service coordination and referral, post emergent care consultation, care transition assistance (inpatient to home), full access to PCCM’s, CMS certified, cloud based software platform and 24/7/365 PCCM clinical staff availability. All of these services are included in PCCM’s standard per Patient, per month fee.
20mins CCM Monthly