Chronic Care Management

Chronic Care Management services require a minimum of 20 minutes of clinical staff time directed by a physician or other qualified healthcare professional per calendar month with the following required elements:

• Multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient
• Chronic conditions place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline
• Comprehensive care plan established, implemented, revised, or monitored

• If they are Medicare Part B patients with no secondary coverage, yes. It will cost them $8/month.
• If they have a supplemental coverage, there is no additional cost.

DrCatalyst’s CCM service provides your CCM patients with 24-hour-a-day, 7-day-a-week (24/7) telephone access to our qualified clinical staff. This provides your patients with the means to make contact with a healthcare professional any time or day of the week.

Patients will also have 24/7 access to an online patient portal where they can view their care plan, medications, and communicate through secure and direct messaging with their physician.

CMS permits clinical staff to provide CCM services “incident to” the services of the billing physician (or appropriate practitioner). This allows our licensed clinical staff to provide CCM services on your behalf rather than under the direct supervision of a physician. DrCatalyst will help coordinate this revision or added value service to your practice.

For new patients or patients not seen within one year prior to the start of CCM, Medicare requires the initiation of CCM services during a face-to-face visit with the billing provider: Annual Wellness Visit (AWV), Initial Preventive Physical Examination (IPPE), or Evaluation and Management Visit (E/M).

Our remote staff will reach out to your qualified patients to schedule a monthly 20-minute call where we discuss their healthcare goals. During the call we talk through their progress and ensure that they are complying to the medications, diet, and routine exercises as prescribed by their doctors based on their individual care plan.

• Physicians (of any specialty)
• Licensed Clinical Staff Members
• Advanced Practice Registered Nurses
• Physician Assistants
• Registered Nurses
• Licensed Clinical Social Workers
• Licensed Practical Nurses
• Clinical Nurse Specialists
• Clinical Pharmacists
• Certified Medical Assistants

Per CMS, only one provider can bill a CCM service per patient per month.

• Certain ESRD codes 90951-90970
• Home Healthcare Supervision code G0181
• Hospice Care Supervision code G0182
• Transitional Care Management codes 99495 and 99496

Yes. Our remote staff team goes through thorough HIPAA-compliance training and are required to maintain compliance with HIPAA training refresher courses every year.

DrCatalyst is a trusted and proven remote staffing partner. Our entire model is based on our staff of dedicated healthcare professionals working as an extension of your team. You can rest assured your patients will receive the supplemental care they need and you’ll receive peace of mind with detailed reporting and documentation to back it up!