Better Care, More Revenue

A Chronic Care Management program improves the quality of life for chronically ill patients and allows practices to increase their revenue by billing for non-face-to-face services currently being provided for free.

Chronic Care Management for athenaClinicals®, the athenaNet add-in software, makes managing in-house CCM programs easy and convenient by adding new features to athenaNet.

And best of all, everything happens inside athenaNet; there's no separate software.

FEATURE LIST:

• Built-in Timer that automatically starts and stops when appropriate
• Care Plans that are compliant with Medicare's rules and regulations
• Editable Care Plans to capture data not available in athenaNet
• Private Insurance and Medicare Advantage support
• Classic CCM and Complex CCM tracking and billing
• Detailed Activity Logs for billing, auditing and metrics reporting
• Monthly Care Plan archives
• Secure Medical Portal providing 24/7 access to Care Plans
• Customizable functionality by role (provider, staff, admin, etc.)
• Tasking Tool to schedule outreach calls
• CCM Dashboard to track monthly CCM progress towards 20+ minutes
• Back-office processing to automatically drop monthly CCM claims

COMPLEX CCM: Complex Chronic Care Management patients often require several hours of care coordination each month. In January 2017, Medicare introduced CPT 99487 to account for time spent providing extended CCM care coordination with especially complex patients. CPT 99489 is an add-on code for CPT 99487 that reimburses for each additional 30 minutes of care coordination services per calendar month. Our software supports CCM and Complex CCM.

PRIVATE INSURANCE & MEDICARE ADVANTAGE: Since Medicare’s introduction of CCM in January 2015, CCM reimbursement has been adopted by Medicare Advantage and Private Insurance payors. Our software supports billing all payors who reimburse for CCM services.

OUTSOURING SERVICES: Our Outsourcing Services extend the capabilities of your in-house staff for when you need additional resources. This hybrid approach ensures you maximize the number of monthly billable patients without having to pay twice - you only pay for the minutes our New Jersey based staff contributes towards the 20 minute threshold.

REQUEST A DEMO: If you’d like to see how other healthcare professionals are using our software to provide better care and generate more revenue using Medicare’s CPT code 99490, please submit your request via the athenahealth Marketplace