Conference Material (Password Required)

CMS began payment for Chronic Care Management in 2014, with multiple changes throughout the past 9 years (adding more codes, adding a New concept – Principle Care Management, increasing fees by ~50%). CCM has become a hugely profitable endeavor for many healthcare providers.

More vendors are coming to the “playground” with their software, clinical teams, and billing capabilities. Providers must be more vigilant in choosing CCM vendors because the billing is always done under providers making them accountable for everything the vendor is doing. Understanding compliance, knowing best practices, and starting off appropriately is essential for a Chronic Care Management program to be effective, compliant, and efficient.

Learning Objective:

• To verbalize key component of CCM
• To summarize evaluation plan
• To identify what is needed for the Implementation Plan
• Review CMS’s Chronic Care Management (CCM) and Principal Care Management (PCM) requirements
• Examine the Scope of Services required to bill Medicare for CCM services
• Identify how CCM can close care gaps and engage patients
• Assess the financial and quality implications of incorporating CCM in your practice
• Recognize the importance of CCM in relation to quadruple aim

Areas Covered in the Session:

This webinar will explain CCM and PCM and best practices such as:

• Understand the CMS Policy on CCM and PCM
  • Patients’ qualifications
  • Billing requirements
  • Who can and cannot bill for CCM
  • Consent
  • Comprehensive Care Plans
• Evaluation plan
  • Patient Population
  • In-house vs Outsourcing pros and cons
  • Software vs EMR
• Implementation plan

Suggested Attendees:

• Nurses
• Doctors
• Nurse Practitioner
• Population Health Officers
• Innovation officers
• CNO/CMO
• Billers
• Physicians
• PCP (MD, NP, PA)
• Specialists (MD, NP, PA)
• Nurse Managers
• C-Suite Healthcare Executives

Presenter Biography:

Dr. Koyfman is a Nurse Practitioner and a Doctor of Nursing Practice with 25 years of nursing and 15 years of executive experience. Dr. Koyfman is an expert in the Patient-Centered Medical Home (PCMH), Home Health, Healthcare Start-ups, Transitional Care, Community Health, Chronic Care Management (CCM), Remote Patient Monitoring (RPM), and Care Coordination. Dr. Koyfman is a dedicated and enthusiastic clinician with an entrepreneurial drive. She has a history of establishing 4 successful healthcare ventures, where she drove significant operational growth (up to1,000%), built successful teams with high retention rates, and improved patient satisfaction and patient outcomes. She is a Subject Matter Expert in CCM and RPM, making her a frequent presenter at multiple conferences. As a founder of Affinity Expert, a healthcare consulting company, she has been consulting primary care providers on all aspects of CCM and its successful clinical, operational, and financial implementation. She has created a growing community of clinicians through her CCM/RPM groups on Facebook and LinkedIn where she provides free information and education to providers. She loves to give back and volunteers on multiple boards along with hands on volunteer work.

Snippet From Our Previous Session