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Chronic care management (CCM) is a set of face-to-face services offered to beneficiaries with two or more chronic conditions expected to last 12 months or indefinitely. The Centers for Medicare and Medicaid Services (CMS) recognizes CCM as a critical component of primary care that promotes better health for patients and
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Profit Calculator Assumptions: 40% of total Medicare patients enrolling is based on (i) Medicare Chart Book’s data showing that ~68% of medicare patients qualify for CCM (2 or more chronic conditions), and (ii) that ~40% of eligible patients will enroll.
For typical providers, $46.67 of net profit per patient per month is based on a Medicare reimbursement per patient per month (national average) for various care management CPT codes.
CPT and other codes, descriptions and other data are copyright 2011 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA).