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transitional_hexigons2Patient-Centered Medical Home (PCMH) Practices for CCM

While Patient-Centered Medical Home (PCMH) recognition is not, as of yet, a requirement to provide chronic care management services, many commercial payers provide incentives for PCMH practices. Additionally, there are four accredited organizations that have established standards and are offering formal recognition for PCMH practices. These organizations include the National Committee on Quality Assurance (NCQA), the Accreditation Association for Ambulatory Health Care (AAHC), the Joint Commission & Utilization Review Accreditation Commission (URAC).

C3HealthLink can assist primary care physicians in providing PCMH-recognized practices that help improve patient outcomes for CCM patients while at the same time, providing physicians with additional revenue streams for their practice.

Example 1: CPT 99490 For Medicare CCM services
Reimbursement
per patient
# of Patients Monthly Revenue Annual Revenue
$40 300 $12,000 $144,000
Example 2: NCQA Annual Performance Bonus Examples
Primary Care
per patient
Cardiac Care
per patient
Diabetes Care
per patient
# of Patients Annual Performance Bonus
$50 $200 $175 300 $127,500