Background: About Chronic Care Management (CCM)

A fully implemented CCM program enables you to:
  • provide high quality care to your most vulnerable Medicare patients, those living with 2 or more chronic conditions
  • be paid by Medicare (via CPT Code 99490) for work that your office is already performing in service of your patients' health: managing appointments, taking patient calls, making calls to patients, lab reviews & processing, and making referrals!

The 20-minute rule

The minimum required non face-to-face (telephone based) care coordination to qualify for Medicare reimbursement is 20 minutes per month. You can take advantage of these twenty minutes to monitor your patient's health and use of medications, provide valuable health education, and refer your patients to other health providers and supportive community resources.
Choose a solution that
works best for YOU

Turnkey Solution

This is a full-service solution. Our trained staff makes 100% of the monthly 20-minute phone calls to each patient required by Medicare for billing. We simply charge you a portion of what you receive from Medicare.

The amount that Medicare pays for CCM services in your geographical location will have an affect on our financial arrangement with you. Get in touch with us to discuss this.

Hybrid Solution: Together to Twenty

A great benefit of this option is that we'll enable tracking and billing work you are already performing — and may wish to continue performing for your patients. We'll build upon your hours and get you to the full, billable 20 minutes of telephone-based care coordination.

Example: Your office staff calls each patient 10 minutes per month. Our staff follows up with an additional 10 minutes. We make sure the entire 20 minutes is tracked and billable to Medicare. You get credit for the patient contact you perform, and we charge you appropriately for our portion of patient contact.

Optimize Your CCM Solution

Regardless of where you are with CCM implementation, we'll help you succeed. We can either get you started by training you and your staff, or optimize your existing program. We'll also provide a full suite of in-depth Patient Modules to serve your patients' health needs over the long term. This material is the result of our team's 17 years experience coaching 1.5 million Medicare and Medicaid patients.

Technology is Only Part of the Solution

Smartphone-based CCM technology is crucial because it enables quick communication, care coordination, and auditable reporting. It is an important part of our solution. But a machine is not a human. When it comes to taking care of your patients, human experience matters. Our team’s heritage includes 17 years of population health and care management experience working with more than 1.5 million patients.

Doctors often rightly ask, if I outsource this care coordination...who is it that's on the phone with my patient? What are they saying? How can I trust this system?

Led by our President Dr. Steven Wegner, and supervised by RN's experienced with serving Medicare patients, our team will work closely with your clinic's team to help ensure each patient receives the care coordination, patient education, and self-management support that he or she needs.

Our own staff of trained health professionals will call on your behalf and coordinate their efforts with your staff, eliminating the need for the practice to hire more staff. At the same time, providers maintain control of the program and have complete patient visibility; they can even service or co-service their sickest patients using a combination of clinic and MCS staff.

Our partnership with Smartlink Health ensures your practice is 100% compliant with the CMS technology requirements. This will enable you to quickly implement CCM services, serve more patients with quality care coordination, and have the confidence that your billing complies with CMS rules.

Our Service Model is
Adaptable to Your Needs

MCS exclusively offers a flexible service and training model, with the level of support your practice needs to launch and ramp up your CCM program. Choose the level of service that works for your practice:

Training of your staff and support of initial program launch
Supplemental staff to ensure you reach 100% of eligible patients each month
100% Turnkey Chronic Care Management

We Coordinate With You
for Patient Success

We'll function cohesively as a remote member of your clinic's care team without interrupting the day-to-day workflow of the clinic. The service provides clinics with both the staffing and technology solutions necessary to accelerate CCM enrollment and optimize monthly program revenues.
Choosing MCS provides you the best of both worlds: You and your practice maintain control of the program and have complete patient visibility; you can even service or co-service your most ill patients using a combination of clinic and MCS staff. At the same time, you don’t have to make upfront investments in staff or worry about compliance, day-to-day management, and growth of your CCM program.

Extensive Care
Management Experience

When it comes to taking care of your patients, experience matters. Our team’s heritage includes 17 years of population health and care management experience working with more than 1.5 million patients.

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Accelerated Revenue

Begin enrolling patients & billing CPT code 99490 this month, without any upfront investment.

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