Medicare now offers doctors $42.20-$100+ per patient per month for Chronic Care Management and other preventative health services. This can translate to $60K-$100K in additional annual profit for 1 doctor with 350 eligible patients (many clinics have more).
“I have a and care for Medicare Patients.”
Est. annual net profit from Chronic Care Mgmt. with CircleLink. Behavioral health Integration and Wellness Visits not included.
“I have a Regular Practice and care for Medicare Patients.”
Estimated annual profit to staff your own CCM program w/RNs, identify candidates, track interactions, etc. Excludes startup costs and launch headaches.
30% of total Medicare patients enrolling is based on (i) Medicare Chart Book’s data showing that ~68% of medicare patients qualify for CCM (2 or more chronic conditions), and (ii) that ~40% of eligible patients will enroll.
For typical providers, $14 of net profit per patient per month is based on a Medicare reimbursement of ~$43 per patient per month (national average) for CPT code 99490.
For FQHCs or RHCs, $26 of net profit per patient per month is based on a Medicare reimbursement of ~$67 per patient per month (national average) for G-code G0511.
Other assumptions include average national salary for RN care coaches, 20% overhead, time/costs allocated for minimal management (1hr per week per RN) and non-care coaching tasks per CircleLink historical data.
CPT and other codes, descriptions and other data are copyright 2011 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA).
100% Registered Nurses
Proven Results
Seamless Integration
Guaranteed Profitability
With your patients’ health and your reputation on the line, you need maximum reliability. All of our telehealth nurses are 100% licensed Registered Nurses and average over a decade of nursing experience.
Our award-winning platform has helped thousands of patients with chronic disease care management, behavioral health management and more. We’ve driven millions of new revenue dollars to provider organizations.
We do the work to integrate into your existing workflow, find and enroll eligible patients, create care plans, deliver audit-grade billing reports, and provide medicare chronic care service logs.
Identification of eligible patients/stratification
Patient enrollment and call assignment
Automatic care plan creation
Licensed tele-nurses for chronic and behavioral care management
Detailed reports for billing and compliance
Automated time tracking
Training and education
Scheduling support from medically trained staff
Nothing beats watching our software in action. See for yourself:
Care Coach Quality
100% Registered Nurses
Lower-level medical assistants / CNAs
You pay for additional nursing staff
Compliance
Bills only for clinical calls with patients and real care coordination
Software tracks all interactions
Bill even if patient is not reached
No auto-time tracking, audit trail, or care plan approval tracking/alerts
Scalability
RNs work remotely
Access to all U.S. nurses
Call centers
Geography constrainted
Need resources to hire, train, maintain and coordinate coaches
CircleLink Health
Shippan Landing Workpoint
290 Harbor Drive, Stamford, CT 06902
(877) 590-3642
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