Chronic Care Management
Chronic Care Management
The Ally Vitals platform offers personalized, CMS-compliant solutions designed to simplify the comprehension of chronic care management and reimbursement.
Our user-friendly approach seamlessly integrates into your workflow. Initiating the streamlining of your practice’s chronic care management process is effortless with Ally.
Benefit of Services
We provide support for CCM, BHI, PCM, and ensure assistance at every step along the way.
- 24/7 Clinical support for patients with chronic conditions
- Data exchange through secure Ally platform
- Patient Education and Marketing Campaigns
- Quality Assurance and Compliance Adherence
Optimize Reimbursements Minimize Inconvenience
Getting Started with Ally is now simpler than ever. We offer clinics various tiered packages to determine the best fit for their specific needs. From straightforward software usage to full-service offerings tailored for busy clinics, we aim to assist them in meeting their requirements.
Incorporate Ally Chronic Care Management Program into your Remote Monitoring Program (RPM) services package. Utilize Ally FDA-approved and pre-configured remote patient monitoring devices to securely and continuously track patients with chronic conditions. This approach enhances the quality of patient care, leading to a reduction in unnecessary hospital readmissions.
Ally seamlessly manages every aspect of the CCM program process, sparing you from the operational intricacies. This includes the ongoing identification of eligible Medicare patients, addressing care gaps through our clinical interactions, and enhancing performance on quality measures. We strive to make Chronic Care Management effortlessly accessible for our clients.
Identify Chronic Conditions
If your EMR or an AWV recognize a patient with two chronic conditions, Ally will automatically enroll that individual is eligible for CCM. Additionally, Ally provides guidance for manually setting up patient profiles through straightforward and user-friendly guides.
Ensure Compliance
The Ally software ensure your compliance and organization, covering all billable aspects, including obtaining informed patient consent
Create A Care Plan
Crafting a comprehensive care plan is a time-consuming task. Ally streamlines this process, accelerating it allowing practitioners to use checkboxes enabling practitioners to swiftly select the appropriate items for each patient. We also have options to add-on notes as necessary to tailor each individual care plan.
Additional Services
Behavioral health integration (BHI) services are very similar to CCM with the following few differences:
- A patient can have only one chronic condition, and it must be a mental health condition.
- Examples: depression, substance-abuse, anxiety, obsessive-compulsive disorder, etc..
- A validated assessment must be performed on the patient each month to track progress.
- This can be completed over the phone, and there are many quick validated assessments in the public domain.
- Time spent on the validated assessment counts towards the 20-minute requirement.
It is capped at 20 minutes, but you can bill BHI and CCM in the same month if you exceed 20 minutes.
- Principal care management (PCM) services are very similar to CCM with the following few differences:
- One complex chronic condition lasting at least three months, which is the focus of the care plan.
- The condition is of sufficient severity to place the patient at risk of hospitalization or has been the cause of a recent hospitalization.
- The condition requires development or revision of disease-specific care plan.
- The condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities.
- PCM is billed each calendar month using the following code:
- CPT 99424 (formerly HCPCS G2064): First 30 minutes of PCM furnished by clinical staff. ~Reimbursement rate: $79.35.
- When PCM is furnished by a physician, nurse practitioner, or physician’s assistant, it is billed under a different code:
- CPT 99426 (formerly HCPCS G2065): First 30 minutes of PCM furnished by physician or non-physician provider. ~Reimbursement rate: $59.84.
- 99490: Minimum 20 minutes non-face-to-face consultation monitoring the care plan. Billable after the first 20 minutes of CCM furnished by clinical staff under supervision of the provider. ~Reimbursement rate: $61.16.
- 99439: (formerly HCPCS G2058): Billable for each additional 20 minutes after 99490, up to a maximum of two times.: Subsequent 20 minutes of care provided by clinical staff: ~Reimbursement rate: $46.28 per instance
- 99437: Subsequent 30 minutes of care personally provided by physician or NPP
- 99487: Minimum 60 cumulative minutes over a 30-day period of non-face-to-face consultation time establishing or monitoring a care plan
- 99489: For every additional 30 minutes non face-to-face consultation (with 99487)
- 99491: Initial 30 minutes personally provided by physician, or non-physician practitioner (NPP)
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