Let your staff focus on providing in-person healthcare to patients, and ChartSpan will focus on the rest.
Booking Chronic Care Management services with ChartSpan means taking advantage of full-service solutions covering everything from care plans, communication, and refill assistance while you do what you do best — care for your patients. Other services we provide include:
Assistance with medication refills
Support in achieving health care goals that you establish
Assistance with transportation and mobility needs
Assistance with Social Determinants of Health
Help in making doctor or specialist appointments
Support for caregivers and family members caring for a loved one
Assistance in accessing labs, x-rays and tests
Continuously building a comprehensive care plan for each patient
Identify and engage eligible Medicare beneficiaries
Medicare beneficiaries must have two chronic conditions to be eligible to participate in Chronic Care Management. Since three out of four people older than 65 have two or more chronic conditions, a large number of your patients should be eligible to participate. Additionally, the Chronic Care Management program requires that each enrolled patient have:
An office visit within the previous 365 days
20 minutes per month of non-face-to-face care
24/7 access to care management
Only one provider billing for CCM services (CPT code 99490)
Most practices that attempt an in-house CCM program enroll only 10% of their eligible Medicare patients. ChartSpan has learned that the best way to enroll CCM patients is with a group of trained Enrollment Specialists who are experts at engaging patients on the benefits of Medicare’s CCM services and overcoming patient objections. As a result, ChartSpan averages 60%+ patient enrollments. Our team will:
Construct Eligible Patient Lists
Reconcile Missing CPT Codes and Establish Coinsurance Estimates
Obtain Patient Consent with Proven Marketing Strategies
Manage the daily churn-in and churn-out of patients
"I believe we are delivering better quality care to patients. Our patient satisfaction is up, and our patients like that they can get in touch with someone any time, day or night."
A Successful CCM Program At Scale
Eagles Landing Family Practice
"Patients have said one of the best things about ChartSpan is the 24/7 access to a nurse who will actually answer the phone without a frustrating phone menu. This gives the patient great peace of mind."
Sustainable growth for Rural Health Clinics
Dr. Scott Brown
Family Health Center of Ashland City
"The ability to combine the AWV with an existing appointment is the key to the success of ChartSpan’s service. Most of our patients are pleased to have the iPad while they wait, and some even get a kick out of it."
Best Practices for Annual Wellness Visit & CCM Programs
Carol Hubbard, Practice Manager
Saini Medical Associates
"I felt that I had control of the enrollment process, to ensure that we were comfortable of how fast enrollment was moving. The process is truly unique. The fact that our patients could hear my voice, gained their trust and reassurance."
How this FQHC produced off-the-chart results (even during the COVID-19 pandemic).
Meredith Gentes, FNP-BC, Senior Director of Population Health
The Workflow Process – End-to-End Support from ChartSpan:
After enrolling your patients into our program, our clinical call center will care for them for the entirety of their time with us, spending 20 minutes every month coordinating preventive care. Our staff will take on tasks like scheduling appointments, requesting records, setting care goals, providing education and making calls to discuss patient updates. ChartSpan handles all moving parts of the CCM process, so you don’t have to. From continuously identifying eligible Medicare enrollees, to closing care gaps through our clinical interactions and improving performance on quality measures, we make CCM effortless for our clients.
* To use our RapidBillAuto technology, your practice must utilize an HL7.
CCM is Available for A Variety of Practice Types
Chronic Care Management can be billed by a variety of practice types. ChartSpan currently provides CCM services to several types of healthcare clientele including primary care, specialty practices, Federal Qualified Health Centers (FQHCs), and Rural Health Clinics (RHCs).
- Internal Medicine
- Adult Medicine
- Family Medicine
- Geriatric Medicine
- Pain Management
- Preventative Medicine
If You Are an FQHC or RHC
Recognizing that patients who benefit the most from Chronic Care Management are served by providers who qualify for Federal Qualified Health Center (FQHC) or Rural Health Clinic (RHC) status, Medicare has made significant changes to CCM reimbursements in the past two years that can bring big advantages to your practice – and your patients.
CMS increased Chronic Care Management reimbursements from an average of $42 to more than $66 per encounter with a minimum of 20 minutes of care. The CCM billable code for this is G0511.
We’ll Work With Your EHR
The Electronic Health Record (EHR) is a crucial tool for pulling eligible CCM patient lists, pushing out patient comprehensive care plans, and billing each month. ChartSpan is the only CCM vendor to offer No-Charge Data Integrations with any EHR that does not data block.
CCM Frequently Asked Questions (FAQ)
Medicare patients with two or more chronic conditions are some of the most at-risk patients. By providing these patients with a 24/7 care team to help them manage chronic diseases on top of the medical care you provide, you are helping them improve their overall clinical outcomes and quality of life. Patient engagement will improve, and your CCM patients will be provided with a comprehensive care plan that guides them on a path to better health.
Whether you are a primary care office or specialty, your ChartSpan care team will continuously support you in closing gaps in care Doing so drives MIPS and ACO compliance. Practices will also generate a new, additional revenue stream by billing CPT 99490 for Chronic Care Management.
Although health care providers are allowed to provide CCM on their own, it is much more operationally complex than you may expect. The technology and resources required to perform a robust and compliant service are extensive, yet necessary. Outsourcing will provide you with these resources in addition to an entire care team devoted to your program, all hours of the day.
ChartSpan’s CCM services are recognized as the benchmark in the industry:
- CMS and Medicare compliant patient enrollment services leveraging state-of-the-art telephony infrastructure and analytics
- Patient enrollment rates averaging 56% of your eligible Medicare beneficiaries
- The only service provider in the industry with positive Net Patient Churn
- Extensive quality auditing and record archiving for 10 years
- Support for practice or cloud-based EHR data access
- Positive net-patient churn averaging +4% month over month
- In-house, clinician-staffed call center providing monthly care coordination services and a 24/7 nurse-led hotline
- Patient satisfaction rating (NPS) of 74.2
- Dedicated Client Success team accountable for driving value
In addition, ChartSpan is the only CCM company to provide MIPS and Quality Improvement Program services at no additional charge for CCM clients and offers a SaaS-based solution for Annual Wellness Visits.
ChartSpan pricing varies for healthcare organizations and is based on the type of practice and reimbursement rate. The cost for the each patient's membership depends on insurance. Contact the team at ChartSpan for custom pricing.
ChartSpan is capable of integrating with your existing EHR.
No. ChartSpan utilizes our own proprietary CCM software to deliver a streamlined, fully-managed CCM service for your practice.
ChartSpan partners with each practice to deliver CCM to eligible patients. ChartSpan continuously identified eligible patients from the practice EMR, then calls those patients to get their consent to the program. Once the patient is enrolled, ChartSpan reaches out each month to work on care coordination activities that improve the patient's health outcomes. All work is documented in a comprehensive care plan which is then shared with the provider through the EMR.
Why Choose ChartSpan for Chronic Care Management Services?
You can improve patient outcomes and help providers save time and money with CCM solutions from ChartSpan. ChartSpan’s unique approach to Chronic Care Management services ensures full compliance and goes above and beyond to ensure your program is successful. Don’t miss out on this opportunity to provide better care, increase patient satisfaction and receive ongoing reimbursement.
ChartSpan’s turnkey solution handles every step of the program, from identifying eligible patients, and the initial outreach for enrollment, to providing around-the-clock access to nurses. We even support your Quality team in accomplishing your MIPS or QIP measures. We deliver a robust solution that doesn’t interrupt your daily, clinical your workflow, reduces staff workload, and delights your patients.