Chronic Care Management
PCCM-Primary Care Case Management
chronic care management software, cpt 99490, Care Cordination,
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.
, chronic care management software
, cpt 99490