In Audit
Nov 14th, 2019
Chronic care management (CCM) services are services that do not involve face-to-face patient/provider contact. The Centers for Medicare & Medicaid Services (CMS) implemented Medicare coverage for CCM in Jan. 1, 2015. There are very specific guidelines providers need to follow to be reimbursed for CCM services rendered to Medicare patients, but it appears CMS is ...
As home-based primary care makes a comeback, be sure physicians’ payment for services isn’t obsolete. Many of us are old enough to remember “Marcus Welby, M.D.,” and the doctors on shows like “Little House on the Prairie,” who would visit someone’s home in the event of an emergency, or if someone was homebound. House call ...
Part 1: Understand payable services for billing chronic care management. The Centers for Medicare & Medicaid Services (CMS) recognizes chronic care management (CCM) as a critical component of primary care that contributes to better health. Although primary care practitioners may bill CCM most frequently, specialty practitioners may provide and bill CCM, in certain circumstances. CCM ...
With value-based care and the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)/Merit-based Incentive Payment System (MIPS) rollout, primary care practices are taking advantage of initiatives such as the Patient-centered Medical Home Program, accountable care organizations/Medicare Shared Savings Programs (MSSPs), and chronic care management (CCM) to increase revenue and establish the in...
Changes to this section in CPT® reveal the latest medical technologies. CPT® Category III codes describe emerging technologies and allow for data tracking. If a Category III code is available, you must report it instead of a Category I unlisted procedure code. CPT® 2017 includes substantial Category III code changes, of which you’ll need to ...