Chronic Care Management - CCM Q&A
What is Chronic Care Management (CCM)?
Centers for Medicare and Medicaid Services (CMS) defines Chronic Care Management, CCM, as “care coordination services done outside of the regular office visit for patients with multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient, and that place the patient at significant risk of death, acute exacerbation/decompensation or functional decline.”
What is the purpose of Chronic Care Management?
The overarching goal of chronic care management is to help patients achieve a better quality of life through continuous care and management of their conditions. In a chronic care management program, a patient might have reduced pain and stress, increased mobility and physical fitness and better sleep and relaxation.
What conditions are considered Chronic?
Chronic conditions listed from Centers for Medicare & Medicaid Services
Does Medicare cover CCM?
CCM is covered under Medicare Part B. This means that Medicare will pay 80 percent of the cost of service. You'll be responsible for a coinsurance payment of 20 percent.
What Will I get if I participate in a CCM program?
- Round the clock access to care management services
- Care continuity
- Care management
- A patient-centered care plan
- Help with care transitions
- Care coordination
- Enhanced communication
- Electronic record and availability of care plan
WCRx CCM Program
WCRx Clinic, along with …..
… WCRx Pharmacy is your complete solution to help fight your Chronic
conditions.
WCRx will combine key elements to help patients manage their long-term health concerns. our Chronic Care Management (CCM) program improves care, drives quality and reduces patients costs by combining Hight Tech with a Loving Touch.
WCRx will provide:
- Recording structured data in the patient’s health record
- Maintaining a comprehensive care plan for each patient
- Providing 24/7 access to care (*RPM and **PCMH)
- Comprehensive care management
- Transitional care management
*Remote patient monitoring (RPM) uses digital technologies to collect medical and other forms of health data from individuals in one location and electronically transmit that information securely to health care providers in a different location for assessment and
recommendations.
**The Patient-Centered Medical Home (PCMH) is a care delivery model whereby patient treatment is coordinated through their primary care physician to ensure they receive the necessary care when and where they need it, in a manner they can understand.
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