In addition to office visits and other face-to-face encounters (billed separately), eligible clinicians, including nurse practitioners, registered nurse, etc., engage and interact with patients with ongoing and monthly communication, coordinate all their caring needs (both electronically and by phone), manage medication regimens and are accessible to patients 24 hours a day.
BMI understands and has experience with chronic care and disease management programs. BMI has developed a proprietary CCM technology platform that not only ensures the optimal health of patients but also improves the financial health of physicians and practices. The functionality of the platform provides a seamless approach to patient care management from patient identification, stratification, prioritization, intervention, evaluation of payment.
Chronic Conditions (sample)
- Alzheimer’s Disease and Related Dementia
- Heart Failure
- Arthritis (Osteoarthritis and Rheumatoid)
- Hepatitis (Chronic Viral B & C)
- Asthma
- HIV/AIDS
- Atrial Fibrillation
- Hyperlipidemia (High Cholesterol)
- Autism Spectrum Disorders
- Hypertension (High Blood Pressure)
- Cancer (Breast, Colorectal, Lung, and Prostate)
- Chronic Kidney Disease
- Osteoporosis
- Chronic Obstructive Pulmonary Disease
- Schizophrenia and Other Psychotic Disorders
- Depression
- Stroke
- Diabetes
Benefits of CCM
For Patients
- Improved self-management skills of chronic conditions
- Improved quality of care and patient satisfaction of services
- Personalized coaching on care management from a dedicated care manager
- Opportunity for collaborative decision making and engagement in their own care
- 24/7 emergency access to BMI clinicians and other care professionals
- Creation of a customized, comprehensive care plan
- Access to personalized disease library
- Coordination of care between specialists, pharmacy, testing centers, etc.
For Practices
- Compliance with MIPS/MACRA reporting requirements
- Earn new stream, recurring reimbursable revenue to sustain and grow your practice
- Entry/preparation for value-based care and risk-based contracting
- Acquire and retain new patients
- Promotes patient loyalty and connection to practices
- Increased volume of patients, i.e., not losing patients to ER Department visits hospitalization and reduce readmission.
- No setup charges and no upfront and ongoing charges to practices.
CCM Workflow
Cost-Benefit Analysis
For this illustration, please assume the practice has 50 CCM eligible patients per month.
| In-house CCM Services | ||
|---|---|---|
| Expense | ||
| CCM Nurse Salary | $7,000.00 | per nurse per month |
| Monthly Phone Bills | $200.00 | per nurse per month |
| Maintain Reports, Service Logs, Billing Reports | $50.00 | per month |
| $7,250.00 | per month | |
| Income | ||
| CCM Reimbursement for 50 Patients @ $42 Average | $2,100.00 | per month |
| Revenue | $(5,150.00) | |
| Outsourcing CCM Services | ||
|---|---|---|
| Expense | ||
| PLatform & Telenurse Charges for 50 Patients at $18.00 per patient | $900.00 | per month |
| $900.00 | per month | |
| Income | ||
| CCM Reimbursement for 50 Patients @ $42 Average | $2,100.00 | per month |
| Revenue | $(1,200.00) | |
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