CHRONIC CARE MANAGEMENT SIMPLIFIED
Easily monitor patients in-between visits, get paid for the care you’re already delivering
CHRONIC CARE MANAGEMENT SIMPLIFIED
Easily monitor patients in-between visits, get paid for the care you’re already delivering
BETTER PATIENT CARE
Efficiently track key vitals between office visits so you can prioritize patients in need
HIGHER COMPLIANCE
Patients with Qardio devices report more frequently so you keep them engaged in CCM
INCREASED REVENUE
Bill for remote monitoring time with Medicare’s CCM codes: CPT 9490 99487/99489, and 99091
UNLOCK THE REVENUE POTENTIAL FOR YOUR PRACTICE
$373,000
Per physician annual opportunity based on average practice size
| Total patients | 2800 |
| % Medicare 1 | 22% |
| % with 2+ chronic conditions | 68% |
| Annual number of CCM patients | 420 |
| CCM monthly payment 2 | $74.00 |
| Estimated annual growth revenue | $373,000 |
1Analysis reflects Medicare patients only, however many private payers also covering CCM
2Assumes 70% billed as non-complex CCM CPT 99490 ($43/mo for 20 min of care) and 15% billed as Complex CCM CPT 99487 ($141/ mo for 90 min of care). Additionally, 40% billed for Remote Data Monitoring CPT 99091 ($57/mo for 30 minutes of care) QardioMD platform allows for concurrent billing for CCM and remote monitoring.
Request our “Guide to Chronic Care Management Reimbursement” to see how easy it is to start billing for remote monitoring and earn your MACRA quality incentives. Find out why QardioMD is the best CCM platform for your office.
WHAT IS CCM?
Medicare and private insurers cover remote monitoring under:
- CPT 99490 = $43 ppm
- CPT 99487, 99489 = $94+$47 ppm
Additionally, you may concurrently bill for remote data monitoring:
- CPT 99091 = $57 ppm
WHO’S ELIGIBLE?
For Chronic Care Management (CCM):
- Patients with 2+ chronic conditions
2/3 of Medicare patients qualify
For remote data monitoring:
- Any patient measuring and sending physiologic data
WHAT’S REQUIRED?
For CCM:
- Spend ≥ 20 minutes per month for non face-to-face care
For remote data monitoring:
- ≥ 30 min of collection and interpretation of physiologic data (e.g., BP per month)
BEST USER ENGAGEMENT AND RETENTION RATES FOR EASY CHRONIC CARE MANAGEMENT
81%
of Qardio device users keep taking measurements after 30 days
3x
more measurements with QardioArm than traditional BP monitor users
BEST USER ENGAGEMENT AND RETENTION RATES FOR EASY CHRONIC CARE MANAGEMENT
81%
of Qardio device users keep taking measurements after 30 days
3x
more measurements with QardioArm than traditional BP monitor users
QARDIOMD FITS ALL YOUR CCM NEEDS
Considering which CCM solution is right for you? See why QardioMD is the most efficient solution for your practice.
OUTSOURCED CCM
Third party provider interacts with your patients
Pros:
- No need to hire extra staff
Cons:
- Costly – requires fees
- Risky – requires outsourcing care of your patients
- Liable – Dr. still accountable for outsourced care
- Limiting – CPT 99091 cannot easily be outsourced
Any practice looking for smart solutions for efficient CCM management
Pros:
- Efficient – automatic time tracking and reporting for easy CCM compliance
- Retention – more frequent patient measurements means longer CCM enrollment
- Real-time – get immediate patient data with their own device or via Qardio devices
- Interoperable – works with EHRs for seamless patient management
- Flexible – smart platform with proprietary devices lets you bill for multiple CPT codes concurrently
IN-HOUSE CCM
Practice using existing EHR and phone check-ins
Pros:
- Care is provided in-house
Cons:
- Inefficient – time consuming with manual processes
- Churn – low patient engagement, lower retention
- Insufficient IT – EHRs lack remote monitoring tools
- Limiting – cannot bill for CPT 99091 without real-time data
POWERFUL FEATURES FOR EFFICIENT PATIENT MONITORING
Real-time patient data
Get patient’s key vitals including BP and weight
Easy to use dashboard
You set parameters for patient prioritisation, to see who needs your attention most
Time tracking
Automatically log time spent on each patient for CCM billing compliance
Customized care plans
Establish personalized patient goals. Set alerts when measurements fall outside
Simple patient onboarding
Easy patient invite process and QardioMD automatically handles patient onboarding
Unlimited staff accounts
All members of your care team can collaborate on patient care
“I’ve been very impressed with the QardioArm device, which we are currently using in the Health eHeart Study.”
Dr. Mark Pletcher
“With QardioMD and QardioArm, I am managing high risk patients’ blood pressure without disrupting their lives.”
Dr. Matt Fay
QARDIO’S CONNECTED DEVICES
Smart blood pressure monitor patients actually use.
Wireless smart scale and body analyzer.