Occasionally, you may need to remove a patient from the CCM program. That's OK, it happens! Remember, that Medicare allows patients to "opt out" of CCM at any time. It's also possible that the patient isn't qualified anymore. There are many common reasons why you can inactivate a patient:
Patient no longer wishes to participate
Patient doesn't have a Valid Medicare insurance anymore
Patient doesn't have 2 or more Chronic Conditions anymore
Patient is no longer a patient or has passed away
You can inactivate a patient at any time by clicking the patient's "Status" button located underneath the "Actions" column on the CCM worklist.
You can also inactivate a patient by navigating to that patient's view page under "CCM" within the "Programs" tab. Select "Active" under the "Enrollment Status" column.
Once clicked a "CCM Enrollment Status" pop-up will appear. This will prompt you to change the enrollment status by clicking the "Change Enrollment Status to" drop-down.
From here, select the best CCM status to change the patient to. For this example we are changing the status to "Revoked" because it is the most popular choice.
Note: Make sure to choose the status that best suites the reasoning behind the patient terminating their CCM services.
Once the enrollment status is chosen, more fields will appear below. Make sure to complete:
Which Care Manager updated the status
The date in which the Patient Terminated CCM services
A note for any additional documentation (optional)
When finished make sure to click the "Save" button to complete the status change. if a user leaves the pop-up without clicking save the change will not be completed.
Now on the patient view page a user should be able to see the patient "enrollment Status" changed from "Active" to "Revoked".
Note: Per Medicare, if you already reached the 20 minutes before the patient cancelled, you can still bill Medicare for that month.
Also, if the patient changes their mind and needs to be "re-activated" into the program, you can change this status back to ACTIVE.
For more information on inactivating a patient, not discussed in this article, chat with a ThoroughCare professional by clicking the blue chat bubble in the bottom right hand corner of every ThoroughCare screen!