patient care
Get reimbursed for the services
you May already Be providing

BodyGuardian® 360 is a customizable, cloud-based platform and electronic health record integrated software, that aggregates patients’ data across electronic health records, labs and remote surveillance devices, including the BodyGuardian® Heart Remote Monitoring System.

Your clinic can now improve patient care, monetize follow-ups and generate additional recurring revenue.

BodyGuardian® 360 is a cardiac-specific dashboard that captures discrete data elements sourced from EMR and other multiple wearable devices (i.e. weight scale, glucometer, heart rate monitor, blood pressure cuff and pulse oximeter).

THE MOST COMMON CHRONIC DISEASES HAVE A CARDIAC FOCUS

Six chronic conditions recognized by Centers for Medicare & Medicaid Services (CMS) for chronic care management (CCM) patient eligibility have a cardiac focus. Stroke and heart failure rank as two of the costliest chronic disease states to manage.

Implementing chronic care management in your practice can improve patient care, increase patient satisfaction, generate a new revenue stream and set you up for success under MACRA/MIPs4. CMS provides reimbursement for your time spent managing appropriately qualified chronic care enrolled patients: 20 minutes, per month, per patient5.

CMS DATA

CMS data shows that two thirds of people on Medicare have two or more chronic conditions.

CHRONIC CARE MANAGEMENT (CCM)

Chronic care management is a critical component of care that contributes to better outcomes and higher patient satisfaction.

CCM PAYMENTS

Can be made for services to consenting patients with two or more chronic conditions, that place the patient at significant risk of death, acute exacerbation, decompensation or functional decline.

IMPROVE PATIENT CARE, MONETIZE FOLLOW-UPS AND
GENERATE ADDITIONAL RECURRING REVENUE

Simple-to-use dashboard to monitor the status of your chronic patients
Quickly identify non-compliant and poorly trending patients
Pro-actively engage patients and reduce hospitalizations
Standard clinical and diagnostic tools
Get paid for what you may already be doing
Turn those phone calls into revenue

CONNECTING PATIENTS, CLINICIANS AND HOSPITALS

BY AUTOMATING CCM YOU CAN PROVIDE BETTER CARE, REDUCE HOSPITALIZATIONS
AND INCREASE REVENUE

Manage patients with automatic documentation and billing for:
  • Chronic Care Management (CCM)
  • Remote Patient Management (RPM)
  • Transitional Care Management (TCM)
  • Bundled Payments for Care Improvement – Advanced (BPCI Advanced)

Streamline population health analytics to support MACRA and MIPS optimization

Incorporates various patient communications capabilities like secure chat or video, text and voice over internet phone, right from within the dashboard

GET REIMBURSED FOR THE SERVICES YOU MAY ALREADY BE PROVIDING

CCM CPT CODE AND MEDICARE REIMBURSEMENT6

Below is a sampling of those codes which may be used when deemed appropriate by physicians for reimbursement for time spent managing patients outside the office
 
 
 
 
 
 
 
 
 
 
CCM Initiating Visit
| Usual face-to-face work required by billed initiating visit code. (Annual Wellness Visit [AWV], Initial Preventative Examination [IPPE], Transitional Care Management [TCM], or Other Qualifying Face-to-Face Evaluation and Management [E/M]).
HCPCS G0505
| CCM initiating visit that describes the work of the practitioner in a comprehensive assessment and care planning to patients.
CPT CODE 99490
| 20 minutes of clinical staff time directed by a physician or other qualified health care professional per calendar month.
CPT CODE 99498
| Add-on code for complex CCM (CPT 99487) for each additional 30 minutes of clinical staff time.
CPT CODE 99497
| Complex CCM that requires establishment or substantial revision of a care plan, moderate or high complexity medical decision making, and 60 minutes of clinical staff time.

REFERENCES:

  1. Chronic Conditions Chartbook: 2013 Edition, Centers for Medicare & Medicaid Services, https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Chronic-Conditions/2012ChartBook.html
  2. Total N. of Medicare Beneficiaries, Kaiser Family Foundation http://kff.org/medicare/state-indicator/total-medicare-beneficiaries/
  3. 2010 Census Shows 65 and Older Population Growing Faster Than Total U.S. Population, United States Census Bureau https://www. census.gov/newsroom/releases/archives/2010_census/cb11-cn192.html.
  4. The Merit-based Incentive Payment System: Quality Performance Category” CMS. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/MACRA-MIPS-and-APMs/Quality-Performance-Category-training-slide-deck.pdf
  5. CMS Chronic Care Management Services https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/ChronicCareManagement.pdf6. CCM Chronic Care Management Services ICN 909188 December 2016. https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/ChronicCareManagement.pdf