Improve the overall health and wellness of your Medicare population

Annual Wellness Visit

(No Co-Pay or Deductible)

Medicare covers an annual wellness visit with no cost to the patient whether they are enrolled in original Medicare or a Medicare Advantage plan, as long as, the practice is an in-network provider. This visit is an opportunity for patient and the Practice’s Constant Care Wellness team to develop a personalized prevention plan that takes a comprehensive approach to improving health and preventing disease.

  • 30 minute Health Risk Assessment
  • In Office Visit with a Nurse and Medical Assistant
  • 45 – 75 minute appointments
  • Screenings: depression, alcohol, nutrition, pain, tobacco
  • Advanced Care Planning initiation
  • Medication review
  • Vaccine administration
  • Scheduling follow-up appointments
  • Provide personalized healthcare action plan

Advanced Care Planning

(No Co-Pay or Deductible if done with Annual Wellness Visit)

In 2016, the Centers for Medicare & Medicaid Services (CMS) began reimbursing for advance care planning (ACP) as a payable service for traditional Medicare beneficiaries. ACP is the face-to- face time a physician or other qualified health care professional spends with a patient, family member, or surrogate to explain and discuss advance directives. Two CPT codes are used to report ACP services: 99497 and 99498.

  • Educating about the types of decisions that will need to be made prior to their death or incapacitation
    • Considering those decisions ahead of time
    • Letting other know about their preferences, often by putting them into an advance directive
  • The components of ACP are:
    • Face-to-face visit
    • Advance Directives discussed
    • Advance Directive Forms are not completed during ACP
    • Covered annually during an AWV

Chronic Care Management

(Approximately $8 Co-Pay)

Recognizing the value Chronic Care Management (CCM) can deliver in improving health outcomes and reducing healthcare spending, the Centers for Medicare and Medicaid Services (CMS) adopted a new service code in January 2015. CPT Code 99490 reimburses physicians or other eligible healthcare professionals approximately $43 per patient per month (national average as of January 2018) for delivering at least 20 minutes of non-face- to-face care coordination to eligible Medicare beneficiaries

  • Delivered to patients with 2 or more chronic conditions:
    • High blood pressure
    • High cholesterol
    • Diabetes
    • Heart disease
  • 20 minute “Talk Therapy” monthly via phone calls by clinically trained call center staff
  • Continuous engagement as an extension of the physician
  • Motivate behavioral changes
  • Increase compliance regarding medication
  • Schedule follow-up visits with providers & referrals
  • Healthcare education

Overview of Services

We offer a turnkey solutions for physicians to maximize reimbursements by initiating and/or increasing utilization of Medicare Preventative Services. Constant Care identifies at-risk populations through wellness assessments and closes gaps in care.