LEARN MORE ABOUT CCM
"Our goal is to keep the small things small and help keep you out of the hospital"
Marc Sherman, MD, MBA
Chief Executive Officer
Ascent Care Partners
WHO IS ELIGIBLE FOR CHRONIC CARE MANAGEMENT SERVICES?
Any Medicare patient who has two (2) or more chronic medical conditions (such as arthritis, asthma, diabetes, hypertension, heart disease, osteoporosis and other conditions) that will last at least a year is eligible to receive this relatively new Medicare benefit.
The intent behind the benefit is to help your primary care doctor keep in touch with you and make patients like yourself feel more connected in-between office visits.
At the goal of Chronic Care Management Services or simply CCM, is to help improve medical care coordination while letting your doctor know your health status on a monthly basis, something he/she is really interested in knowing, Your participation in CCM also might help to avoid unnecessary hospital admissions and readmissions in the future.
WHAT DOES THE CCM BENEFIT CONSIST OF?
Eligible Medicare patients must consent to receive CCM services. Then we'll develop an individual care plan that:
lists your medical issues and goals
lists other doctors involved in your care
review medications you’re taking to take and how to take them
provide additional education about your conditions and community services you may need
we'll also go over other pertinent information about your health.
Basically, it explains the care you need and how the care is to be coordinated.
WHO PROVIDES CCM SERVICES ON BEHALF OF MY DOCTOR?
You’ll have a monthly call with a “care coach” that’s scheduled in advance. The care coach is an extension of your doctor’s office and will ask questions relating to your medical conditions. They’ll also make sure the individual care plan is being followed (i.e. keeping appointments with other doctors, taking your prescribed medicines, etc.).
These phone calls average 20 minutes and written summaries of these conversations between you and the care coach will be shared with your doctor after every call. That’s why it’s very important to be available for your monthly care coach call.
WHY IS CCM IMPORTANT?
The true value of this service is the way in which it assures continuous monthly communications between you and your doctor in-between office visits. And this can lead to improved patient care and overall better outcomes.
"IS THERE A COST FOR THIS SERVICE?
CCM services are covered under Medicare Part B. If a patient has a Medicare Supplemental Policy or is enrolled in a Medicare Advantage Plan, there is usually no co-pay for CCM services unless the annual deductible for Part B has not yet been met.
Patients without a Medicare Supplemental Policy or have not enrolled in a Medicare Advantage Plan may be billed a 20% co-pay (approximately $8.00 per month) until they meet their annual deductible. However, some physicians may treat the co-pay differently.