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Chronic Care Co-ordinator

Chronic Care Management (CCM) are services delivered by a physician or non-physician practitioner (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist and/or Certified Nurse Midwife) and their clinical staff, per calendar month, for patients with multiple (two or more) chronic conditions expected to last at least 12 months or until death, and that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline.

CMS established significant rule changes in November 2016 to further address the needs of clinicians and suppliers, including 3 billing codes to ensure practitioners are compensated for time and resources spent providing coordinated care in the delivery of chronic care management services.

Cardiology specialty practices typically manages a large cohort of chronically ill patients (typically 68-70%) and this program provides an opportunity to provide high quality care for patients and also be reimbursed for the non-face-to-face care.

Use the calculator below to learn the reimbursements in your region.