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Graphic Desinger
8000
Senior Desinger
80000
Art Director
800000
Scalable Chronic Care Management and Principal Care Management
We provide an easy-to-use platform and omni-channel communication for effective CCM or PCM, paired with on-demand clinical monitoring and billing support.
Help your patients achieve their health goals and unlock new revenue streams for your business.
Founded in 2015, trusted by hundreds of providers nationwide
why kangaroohealth
Your one-stop chronic/principal care management solution
CCM and PCM are personalized health coaching programs that help people manage chronic conditions per provider care plans. PCM is for one chronic condition, CCM is for two or more chronic conditions. We provide plug-and-play programs with everything you need, from the platform to on-demand health coaches.
Help patients achieve health goals
Our CCM/PCM programs begin with your tailored care plan for a patient. Our health coaches or your clinical staff can utilize our platform to educate patients and help them work towards their care goals.
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Personalize education for improved outcomes
Our CCM/PCM programs provide tailored health education, periodical check ins to review patient reported outcomes (PROs), and help patients feel supported at every step.
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Drive medication and therapy compliance
Through motivational health coaching and interviews, we help your patients stay on track with their medication management and therapy compliance, leading to better patient outcomes.
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Boost revenue and financial performance
Our CCM/PCM solutions are reimbursable by Medicare, Medicare Advantage, and most health insurance plans. They can be combined with our RPM or RTM to maximize patient benefit and provider revenue. Go live in less than two weeks.
Demonstrated ROI Results
KangarooHealth CCM/PCM unlocks new reimbursements
Our CCM/PCM customers report increasing their revenue by $800+ per patient per year. With KangarooHealth as your partner, you improve patients’ health and enable a new service for your business.
Annual Value Unlocked
# of Patients
10
100
1,000
Annual Value
$ 8000 +
*Estimated net gain after full cost of implementation and support services
Features
Our complete remote patient monitoring solution
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The leading platform, configured for your needs
Our platform includes rich libraries of disease-specific care management intake and follow-up templates, enabling health coaches to focus on patient care and education, removing clerical burden and saving time.
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Manage any chronic condition, or combination
Our platform can be configured for any chronic condition–in the case of PCM–or any combination of chronic conditions for CCM. Your staff or our on-demand clinical monitors follow any changes in health or symptoms throughout the month.
Streamlined managed services
We verify patient benefits within the same day of patient referral, patient enrollment is completed within 24-48 hours. New providers can complete onboarding and go live within two weeks.
Coaching that makes a difference
Our CCM/PCM care plan templates, goal setting and omni-channel communication options make it a breeze for either your staff, or our clinical monitors to help patients make real progress in their goals.
Unmatched coverage
Care that scales across CCM/PCM conditions
PCM requires a patient to have a condition that lasts for 3 months or longer. CCM requires a patient to have a condition that lasts for 12 months or longer.
Many customers enroll patients with following conditions:
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Heart Failure
Diabetes
Pre-Diabetes
Obesity
Hypertension
COPD
Cancer
Arthritis
Our coaching approach
Providers may opt to have their staff do the coaching for their CCM/PCM program. Or they can use our on-demand clinical monitors to easily scale providing the following services:
Reminders to patients or caregivers about medication, lifestyle, exercise, mobility or diet changes
Collaborating with patients to plan key care management milestones per providers’ care plans
Motivational coaching and interviews to drive patient’s disease awareness and positive lifestyle changes
Consistent tracking of health progress
Timely escalation of any health issues
Encouragement, support and accountability
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How it works
KangarooHealth CCM/PCM makes everything simple
1
You refer patients
Prescribe KangarooHealth CCM or PCM to a patient, similar to writing a prescription, often in combination with RPM or RTM. This could be one-click with an EMR integration, or one minute in the KangarooHealth referral platform.
2
We handle enrollment
KangarooHealth verifies eligibility for your patients, then arranges an intake call to learn about the patient’s health baseline, and establish health milestones per provider and the patient’s care plans / goals.
3
You see improved care and more revenue
Either your care team or our health coaches use our platform to monitor and engage patients, and establish a regular cadence of coaching sessions. We provide easy-to-use billing reports that streamline your monthly reimbursement claims. Full revenue cycle management service is also available.
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Better care for patients, new revenue for your business. A true win-win.
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FAQ
What is the difference between CCM and PCM?
CCM is for management of two or more chronic conditions, PCM is for management of one chronic condition.
PCM is for a condition that lasts 3 months or longer, vs. CCM is for a condition that lasts 12 months or longer.
What are the patient qualifications for CCM/PCM ?
Per your care focus, KangarooHealth helps you qualify eligibility for your patients. General guidelines include:
• Patients who qualify for PCM have been managing one chronic condition for at least 3 months. Patients who qualify for CCM have been managing two or more chronic conditions for at least 12 months.
• CCM/PCM program patients should be established patients who you have had a prior evaluation and management service with (this can occur in person or over telehealth).
• Patients may not be currently enrolled in another CCM/PCM program.
• Nursing home patients do qualify for CCM/PCM.
Is there any patient out of pocket expense for this program?
• Many patients have $0 out of pocket expenses.
• Depending on insurance plans, some patients may have minimum financial responsibility such as co-pays.
• KangarooHealth will contact the patient with an estimate of their copay for approval prior to final enrollment in the program.
Can a patient be enrolled in CCM/PCM and another remote care program?
Patients can only be enrolled in one CCM/PCM program by a provider at any given time. During patient enrollment, KangarooHealth confirms with patients that they are not already enrolled in a CCM/PCM program.
Patients enrolled in CCM/PCM can also enroll in either a RPM or RTM program through KangarooHealth, which could help improve outcomes for patients with comorbidities and are billed separately through different CPT codes.
PCM and CCM cannot be applied to the same patient in the same month.
How intuitive is the program for senior patients?
Very! Our expert clinical monitoring staff members become a trusted coach. We also communicate with patients using the channel they prefer, including phone, SMS, in-app messaging and/or telehealth.
Do providers have monthly requirements for a patient in CCM/PCM?
There is no provider obligation. KangarooHealth also sends a monthly report directly to your EMR.
Billing
What are the CCM/PCM codes? What is the reimbursement rate?
CCM Reimbursement: ~$160 Per Patient Per Month
Medicare & Medicare Advantage: all cover CCM.
Commercial Plans: many cover CCM, and their reimbursements rates are typically 50% higher than Medicare.
Provider Billable CPT
Average Medicare Rates
Notes
99490
$62.16
Clinical Staff
Initial 20 minutes
99439
$47.04
Clinical Staff
Each additional 20 minutes
99491
$83.66
Physician
Initial 30 minutes
99437
$59.47
Physician
Each additional 30 minutes
*KangarooHealth does not bill patients or payors
PCM Reimbursement: ~$160 Per Patient Per Month
Medicare & Medicare Advantage: all cover PCM.
Commercial Plans: many cover PCM, and their reimbursements rates are typically 50% higher than Medicare.
Provider Billable CPT
Average Medicare Rates
Notes
99426
$63.34
Clinical Staff
Initial 30 minutes
99427
$48.45
Clinical Staff
Each additional 30 minutes
99424
$83.41
Physician/NP
Initial 30 minutes
99425
$59.44
Physician/NP
Each additional 30 minutes
*KangarooHealth does not bill patients or payors
Who handles the billing? Who gets the reimbursements?
Providers are required to submit the reimbursement report. Most of our customers choose to handle billing in reference to monthly summary reports provided by KangarooHealth. We do have full revenue cycle support available on request.
The reimbursement goes directly to the provider.
What types of insurance cover CCM/PCM?
CCM/PCM is covered by Medicare, Medicare Advantage and most commercial health plans.
Is CCM/PCM encounter based?
No, CCM/PCM is not encounter based. When KangarooHealth is providing the patient monitoring and engagement there is no requirement that staff from your office be in touch with the patient each month in order to bill.
Getting started
How long does it take to launch with a new client?
KangarooHealth can have your program up and running within two weeks. We have a streamlined onboarding process that involves just 2-3 hours of education time required by your staff.
How long does it take to enroll a new patient?
Referring patients takes a few clicks if we’ve completed a simple integration with your EMR. If your staff is using the KangarooHealth platform for referrals it typically takes one minute.
KangarooHealth does the verification of insurance and patients can usually begin the program within 24-48 hours after referral.
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