CMS Chronic and Remote Care Management CPT Codes
Can Dramatically Impact Your Bottom Line and Cash Flow
Starting in 2018, CMS started direct reimbursement for the provision of Chronic Care Management Services via CPT 99490 and CPT 99491. In 2019, CMS expanded payments for remote care through PT Code 99493, CPT 99454 and CPT 99457.
RCP provides an integrated communications solution which combines remote patient monitoring, with chronic care management and voice, text and telehealth engagement.
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CPT Code | Abbreviated Description |
CPT 99490 | Chronic Care Management Services ? At Lease 20 Minutes Clinical Staff Time Monthly for Patients with 2 Chronic Conditions ? Comprehensive Care Plan Established, Implemented, Monitored |
CPT 99453 | Remote Monitoring of Physiologic Parameters (Weight, Blood Pressure, Pulse Oximetry, Respiratory Flow) ? Initial Equip Setup & Patient Education |
CPT 99454 | Monthly Device Supply ? Daily Recordings or Programmed Alerts |
CPT 99497 | Remote Physiologic Monitoring Treatment management ? 20 Minutes of Qualified Health Professional Time Per Month with at Least One Interactive Communication with Patient During the Month |
What This Could Mean To Your Practice
Medicare Program | Description | Allocation of 500 | Base Monthly Fee | Projected Monthly Revenue | Projected Monthly | Estimated Annual |
|---|---|---|---|---|---|---|
Chronic Care Management | Patient Report Data - Two Chronic Conditions | 40 | $42 | $84 | $3,360 | $40,320 |
Remote Patient Monitoring | Automated Data Reporting - 100% Medicare Eligible | 250 | $114 | $175 | $43,750 | $525,000 |
CCM + RPM | Est. 60% Medicare Patients Eligible For Both | 210 | $156 | $200 | $42,000 | $504,000 |
Telehealth Visits | $120 Average Visit- 50% of Patients Use Per Month | ? | ? | ? | $30,000 | $360,00 |
Total Revenues | $ 119,110 | $ 1,429,320 | ||||
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