You will need to identify your chronic care patients who qualify. Eligible patients include those with two or more chronic conditions expected to last at least 12 months, or until death, that place the individual at significant risk of death, acute exacerbation/decompensation, or functional decline. Only one provider can bill for the chronic care management code in a 30-day
Chronic care management (CCM) covers the administration and education activities conducted by health care professionals to help patients with chronic diseaseand health conditions such as diabetes, high blood pressure, multiple sclerosis, lupus, heart conditions, sleep apnea, et al. This is to help patients understand their disease and health conditions, manage and live successfully with them.