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CHRONIC CARE MANAGEMENT

Revolutionize Patient Care with Escal-ARS

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In today’s fast-paced, AI-driven healthcare world, Escal-ARS is leading the charge—bringing the human element back to Chronic Care Management (CCM).

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By partnering with Escal-ARS you can achieve:

Better Outcomes

Stronger Engagement

Optimized Care Coordination

Increased Revenue

 

Achieve: Fewer hospitalizations. Higher adherence. Streamlined operations. And a significant revenue boost through Medicare reimbursements.

 

Why wait? The future of Chronic Care Management (CCM) is here. It’s time to elevate your standard of care and take control.

 

Getting started is as easy as:

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Your patients deserve the best. Your practice deserves success. Let’s make it happen—together.

Don’t miss out! Contact us today and take the first step toward transformative

Chronic Care Management (CCM)!

 

Escal-ARS simplifies the consent process for Chronic Care Management (CCM)!

 

Digitizing documentation

Automating patient consent tracking

Enabling e-signatures

Adhering to compliance with Medicare requirements

Streamlining patient enrollment

  1. Enroll in the program

  2. Verify Eligibility

  3. Obtain Consent

VERIFYING ELIGIBILITY

Escal-ARS makes verifying patient eligibility for CCM simple and efficient

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- Patient Identification: Escal-ARS uses analytics to identify Medicare patients that qualify for Chronic Care Management (CCM)

- Streamlined Consent and Enrollment: Escal-ARS helps you by digitizing the consent process, allowing for automated documentation and e-signatures

- Smart Dashboard Access: Escal-ARS provides a smart dashboard for providers, nurses, and care managers to monitor patient health (Click Here to Learn More About Escal-ARS Dashboards)

- Care Plan Management: Escal-ARS suggests personalized care plans based on patient conditions driven by quality standards of care

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Chronic Care Management (CCM) is for patients with two or more chronic conditions and focuses on comprehensive care coordination.

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Chronic Care Management (CCM) Eligibility Requirements:

To qualify for CCM, a patient must meet the following criteria:

  • Medicare Beneficiary: The patient must be enrolled in Medicare Part B

  • Two or More Chronic Conditions – The conditions must:

    • Be expected to last at least 12 months

    • Place the patient at significant risk of health decline, hospitalization, or functional impairment

    • Ongoing Care Coordination Needed: The patient requires regular provider communication, medication management, and healthcare support​

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OBTAINING CONSENT

How Escal-ARS Supports the Consent Process:

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Escal-ARS simplifies the Chronic Care Management (CCM) consent process with a digital, automated, and compliant solution, seamless patient enrollment and documentation.

 

- Multiple Consent Options: Verbal, written, or electronic consent - flexibility in obtaining patient approval

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- Digital Consent Collection: e-signatures and automated documentation, reducing manual paperwork

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- Automated Tracking & Compliance: Monthly trending of patient consents

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- Optimized Workflow Management: Reduced administrative burden, allowing providers to focus on delivering quality patient care

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MISSED REVENUE

Are you conducting Annual Wellness visits?

Escal-ARS gathers key clinical data for you - before your patient visit!

 

For every 100 Annual wellness exams:
$12,600 to 16,000 annually for initial exams
(G0438, G0439)
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For every 100 patients enrolled in CCM:
$6,100 to $10,800 monthly for our 20-minute report reviews
(99490, 99439)
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Even if a patient has only one chronic condition, PCM billing codes apply!
Want extra monthly revenue without a bunch of extra work?
Escal-ARS has you covered!

CLINICAL REPORTS

At Escal-ARS, our Chronic Care Management (CCM) approach emphasizes personalized service at every stage. Our team carefully reviews clinical data from your EHR, offering a human element that AI can't replicate.

 

Escal-ARS completes a detailed clinical data report looking at the following points listed below:

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- Vital Signs: Trends for vitals readings and associated chronic conditions

- Medication Review: Reviewing medication orders to identify polypharmacy and appropriate correlation between diagnoses and medications

- Behavioral Review: Tracking changes in behaviors that can affect chronic disease management.

- Laboratory Results: Tracking lab work specific toward chronic conditions (e.g., kidney function, cholesterol, thyroid tests).

- Fall Tracking: Tracking falls to suggest improvements for the patient’s safety.

- Hospitalization/Rehospitalization: Identify hospital stays monthly

- Meal Documentation: Tracking meal intake to identify changes in eating habits, especially for those patients with specific dietary needs.

- Bowel Movement Tracking: Tracking bowel movements to identify any potential gastrointestinal issues.

- PRN Medication Usage: Tracking the use of as-needed medications to better manage pain and symptoms.

- Diet Type Monitoring: Keeping track of the patient's diet to identify that the diet plans are appropriate for the patient’s specific chronic conditions.

- Advanced Directives Review: Tracking most recent advanced directives and DNR status.

- Activities of Daily Living (ADLs): Identify significant declines in the patient's functional status (e.g., bathing, dressing, eating, continence, mobility).

 

Escal-ARS provides suggested treatment plans tailored to the patient’s needs. Our proactive monitoring enables timely interventions and adjustments, leading to improved clinical outcomes and patient/provider engagement.

 

Partner with Escal-ARS to optimize your Chronic Care Management (CCM) and collect reimbursements through accurate and dedicated care.

Clinical Report Example
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- Clinical Reports: Escal-ARS will deliver your finalized clinical reports, detailing the clinical documentation gathered on the patient, relevant clinical findings, and suggested treatment plans.

 

- CPT Suggestions: Alongside the clinical reports, Escal-ARS will simultaneously deliver a CPT Suggestions Report listing the exact time spent by the Escal-ARS team on Chronic Care Management (CCM) services and the CPT codes recommended for your claim to CMS.

 

- Your Claim: All time spent by Escal-ARS gathering and reviewing clinical documentation is determined by data availability in the EHR. You or your practice might have access to additional clinical information that you may spend time reviewing – this could alter the patient’s viable CPT bill codes, or you may choose different CPT bill codes. This is up to you and/or your billing team.

 

- Our Invoice: At the conclusion of each month, Escal-ARS will deliver an invoice for services rendered during that month. Compensation is required for services rendered per contract.

 

*Escal-ARS is not a billing entity and cannot offer medical coding / billing services*

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