Frequently Asked Questions
Everything you need to know about our care coordination services.
Who is 2C Health for?
Anyone who wants to improve their patient health outcomes. We offer a range of healthcare services and solutions that are customized to meet the unique needs and goals of each of our clients. Whether your patients need preventive care or chronic disease management, our experienced healthcare professionals are here to help.
What healthcare services does 2C Health offer?
We offer a range of healthcare services, including Preventive Care, Chronic Care Management, Remote Patient Monitoring, Behavioral Health Integration, Transitional Care Management, Annual Wellness Visits (AWV), and more. We work closely with each patient to develop customized healthcare plans that meet their unique needs and goals.
Are these services covered by insurance?
Yes, CCM and RPM are covered by Medicare and many private insurance plans. Patients should check with their insurance provider to confirm coverage.
How does 2C Health work?
Simply schedule an appointment with one of our healthcare professionals. During your appointment, we'll work with you to develop a customized solution that meets your clinic's needs. From there, we'll work with you to smoothly implement your plan and help your patients live healthier and happier lives.
Who are the healthcare professionals at 2C Health?
Our team is made up of experienced healthcare & IT professionals, including physicians, and other healthcare professionals. Each member of our team is dedicated to providing our patients with the highest quality of healthcare services and innovative solutions.
What sets 2C Health apart?
We are best in class with multiple and flexible care coordination service models, EMR Integration (True/plug-in). The dedicated and fully trained care team, 24 x 7 support, in-house IT team to entertain on-demand customization from our clients and continuous product development to meet the changing needs of the health care, separate Quality Control and Assurance Department to ensure every encounter is meeting the Medicare guideline. At 2C Health, we believe that everyone deserves access to high-quality healthcare. We work closely with each of our clients to develop a customized healthcare plan that meets their unique needs and goals. We are committed to staying up-to-date with the latest advances in healthcare, and we continuously invest in our team and technology to ensure that we are providing the best possible care to our clients.
What different models 2C Health offers?
End-to-End: In this care coordination model, we provide a complete solution to the practice. Our well-qualified and trained team takes care of everything from start to end. In-house: In this model, Practice can use our software and dedicated success managers support to perform the respective service. Hybrid: In which practice can use their resource and our team can do all the backend and patient reviews.
What is the target audience for 2C Health?
2C Health is anyone who wants to take control of their health and well-being. Our services are designed to meet the diverse needs of our clients, and we work closely with each of our clients to develop a customized healthcare plan that meets their unique needs and goals.
Is a new patient consent form required each calendar month or annually?
No, as provided in the CY 2014 PFS final rule (78 FR 74424), a new consent is only required if the patient changes billing practitioners, in which case a new consent must be obtained and documented by the new billing practitioner prior to furnishing the service.
What is chronic care management?
Chronic care management (CCM) is a healthcare service designed to help individuals with 2+ chronic conditions manage their health and improve their quality of life. It involves developing a personalized care plan, coordinating care with multiple healthcare providers, monitoring progress, and providing ongoing support and education.
What chronic conditions does the CCM program manage?
Examples of chronic conditions include, but are not limited to, the following: Alzheimer’s disease and related dementia Arthritis (osteoarthritis and rheumatoid) Asthma Atrial fibrillation Autism spectrum disorders Cancer Cardiovascular Disease Chronic Obstructive Pulmonary Disease Depression Diabetes Hypertension Infectious diseases such as HIV/AIDS
How does chronic care management work?
Our chronic care management services start with a comprehensive assessment of our client's health and medical history. From there, we designate a healthcare professional who works closely with our patients to develop a personalized care plan that includes ongoing monitoring, medication management, and support from our team of healthcare professionals.
What activities count towards Chronic Care Management?
Activities that count towards CCM include: Phone calls and patient questions Medication refills and adjustments Scheduling, referrals, and prior authorizations Care planning and care coordination
What billing codes should I use to bill for Chronic Care Management?
CPT 99490 – Chronic Care Management Services HCPCS G0511 – General Care Management Services (for FQHCs/RHCs) HCPCS G0506 – Comprehensive Assessment & Care Planning CPT 99439 – non-complex CCM Add-on (New in 2021. Previously G2058) CPT 99487 – Complex Chronic Care Management Services CPT 99489 – Complex CCM Add-on CPT 99491 – Physician-provided CCM
Can FQHCs and RHCs bill for CCM?
Yes, Care management services can be billed either alone or on a claim with an RHC or FQHC billable visit.
What are the benefits of chronic care management?
Improved health outcomes, better medication management, reduced healthcare costs, and increased access to healthcare resources and support are just a few benefits.
Who is a good candidate for chronic care management?
Any patient with two or more chronic diseases is eligible for CCM. Medicare, Medicare Advantage and Commercial Insurance. For commercial insurance kindly check with patients insurance provider to check the eligibility.
What sets 2C Health's chronic care management services apart from others?
At 2C Health, we are committed to providing our clients with the highest quality chronic care management services. Our team of healthcare professionals has extensive experience in managing chronic conditions, and we work closely with each of our clients to develop a personalized care plan that meets their unique needs and goals. We are dedicated to staying up-to-date with the latest advances in healthcare, and we use technology and data analytics to improve our clients' outcomes and reduce healthcare costs.
Which staff members in a practice can perform CCM services?
Clinical staff will provide CCM services incident to the services of the billing physician (or other appropriate practitioner who can be a physician assistant, nurse practitioner, clinical nurse specialist or certified nurse midwife). Time spent by clinical staff may only be counted if Medicare’s “incident to” rules are met such as supervision, applicable State law, licensure and scope of practice. If the billing physician (or other appropriate billing practitioner) provides CCM services directly, that time counts towards the 20 minute minimum time. Of course, other staff may help facilitate CCM services, but only time spent by clinical staff may be counted towards the 20 minute minimum time. CPT defines a clinical staff member as “a person who works under the supervision of a physician or other qualified health care professional and who is allowed by law, regulation and facility policy to perform or assist in the performance of a specified professional service; but who does not individually report that professional service.” The Centers for Medicare and Medicaid Services (CMS) provided an exception under Medicare’s incident to rules that permits clinical staff to provide the CCM service incident to the services of the billing physician/practitioner under the general supervision (rather than direct supervision) of a physician/practitioner. “General supervision” means the service is furnished under the billing physician/practitioner’s overall direction and control, but that person could be on call and not necessarily on site in the office.
Do Medicare Advantage plans pay for Chronic Care Management and Remote Patient Monitoring?
Yes, it depends on the plan. From our experience, most Medicare Advantage plans do pay for CCM.
Does Medicaid pay for Chronic Care Management?
Yes, on a state-by-state basis.
What is a remote patient monitoring?
Remote patient monitoring is a healthcare technology service that allows healthcare providers to monitor and track their patients’ health remotely. It involves using a variety of devices to collect data on a patient's health status, which is then transmitted to healthcare providers for analysis and care management.
How does the remote patient monitoring system work?
Our remote patient monitoring system is easy to use and requires minimal setup. We provide our clients with a range of 4G/Bluetooth enabled monitoring devices, such as blood pressure monitors, glucose meters, and pulse oximeters, all of which collect health data from the comfort of your home. The data is then transmitted to your designated healthcare professionals, who analyzes it and uses it to make informed care decisions and treatment plans.
What type of health data can be collected?
RPM can collect a wide range of health data, including blood pressure, heart rate, blood sugar levels, weight, and oxygen saturation levels. We use this data to monitor our clients' health status, identify potential issues, and provide timely interventions as needed.
What are the benefits of using a RPM?
RPM offers a range of benefits, including improved health outcomes, reduced healthcare costs, increased access to care, and greater convenience for patients. It allows healthcare providers to monitor patients' health status in real-time, which can help prevent complications and ensure timely interventions when needed.
Is there a copay associated with RPM?
Yes, a Medicare Part B service, the patient is responsible for 20% of the RPM copay. If you have a secondary insurance, typically the secondary insurance will cover the remainder.
Who is a good candidate for a remote patient monitoring system?
Any Patient. However, a provider should only order/prescribe RPM if capturing data is directly beneficial to managing a patient’s condition(s) with justifications documented in the medical records. Patients with diabetes, heart disease, and COPD make for the best candidates. It is also beneficial for individuals who have recently been discharged from the hospital and need ongoing monitoring and support.
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What sets 2C Health's remote patient monitoring system apart from others?
At 2C Health, we are committed to providing our clients with the highest quality remote patient monitoring services. Our system is user-friendly and easy to use, and our team of healthcare professionals have extensive experience in data analytics and technology to improve patient outcomes. We work closely with each of our clients to develop a customized monitoring plan that meets their unique needs and goals.
What are the most common RPM devices?
Weighing Scale, Blood Pressure Monitor, Glucometer, Pulse Oximeter, CGM Contact Looking for a corporate solution? Contact us.
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Still have questions?
Our team is happy to walk you through how 2C Health works for your practice.
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