Irina Koyfman

Title : Unlock the power of chronic care management: Financial & clinical wins for your practice

Abstract:

Providers spend a significant amount of time in between visits managing their most complicated, chronically ill patients without reimbursement. All that changed in 2015, when Medicare began paying for CCM service (CMS, 2019). However, many providers still choose not to participate in CCM due to multiple layers of complicated requirements. According to the Center for Medicare and Medicaid Services (CMS), it is estimated that only 9% of Medicare fee-for-service beneficiaries received the Chronic Care Management, Transitional Care Management, and Advance Care Planning services. CMS acknowledged that those codes are being underutilized and encourages providers to get more involved with them (2019).  This presentation will demystify the complexity of the process. We will discuss each required element for CCM billing and will showcase how CCM applies to the quadruple aim by increasing patients and provider satisfaction, reducing cost of care and increasing quality of care.

Audience Take Away:

• Review CMS’s Chronic Care Management (CCM) requirements.
• Review CMS’s Principal Care Management (PCM) requirements.
• Examine Scope of Services required to bill Medicare for CCM services.
• Assess financial and quality implications of incorporating CCM in your practice

Biography:

Dr. Koyfman is an enthusiastic and emotionally intelligent Nurse Practitioner with 25 years of nursing and 15 years of executive experience with excellent communication skills. She presents with the sense of humor and practical examples. Dr. Koyfman is a Subject Matter Expert in Chronic Care Management, and Care Coordination, Remote Patient Monitoring, Emotional Intelligence, and Stress Management and Resilience. She has a history of establishing 4 successful healthcare ventures, where she drove significant operational growth (up to1,000%), built successful teams with high retention rates, and improved patient satisfaction and patient outcomes. She is a frequent presenter at multiple conferences. As a founder of Affinity Expert, a healthcare consulting company, she has been consulting primary care providers on all aspects of CCM, RPM and Stress Management and its successful clinical, operational, and financial implementation. She has created a growing community of clinicians through her CCM/RPM groups on Facebook and LinkedIn where she provides free information and education to providers. She loves to give back and volunteers on multiple boards along with hands on volunteer work.