Hello - In the NSI SIG forum we are always talking about benchmarking so I wanted to share some information I learned from CMS about CCM. Although I wouldn't call it a benchmark - more like a baseline. In the proposed rules CMS noted that of all of the Medicare beneficiaries that are enrolled in CCM the average number of months that a beneficiary receives CCM services in a year is 5 out of 12 months. They used this data to design a new payment model. So my questions to all of you that do care coordination are:
As a structure measure how many care coordinated patients is your panel size per RN FTE? and do you use other than RNs in your care coordination program and if so what is the panel size for an individual or team?
As a process measure do you track the percent of your enrolled patients who receive at least 20 min of care coordination each month (i.e. billable)?
I work with lots of care coordination programs and we track the % billable each month and our target is to get to 90% of all enrolled patients receive at the least the minimum billable amount of time and we strive for 150 patients per RN with 250 for an RN/UAP team.
I look forward to reading your responses!
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Faith Jones MSN RN NEA-BC
HealthTech
Powell WY
(307) 272-2207
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