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 ...
In Billing
Mar 20th, 2019
Got Transition™ and the American Academy of Pediatrics have released the new 2019 Transition Coding and Reimbursement Tip Sheet which supports the delivery of recommended transition services in pediatric and adult primary and specialty care settings. The tip sheet includes: An updated list of transition-related CPT® codes, including new codes relating to chronic care management and interprof...
In Billing
Jan 12th, 2018
Your practitioners may be performing services for which they are neither being reimbursed nor receiving credit toward their quality reporting. You can help maximize their earning potential and receive credit where it’s due by pointing out these three separately payable services. Chronic Care Management Chronic conditions (e.g., Alzheimer’s disease, arthritis, asthma, cancer, depression, HIV, strok...
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 ...
In Billing
Jul 25th, 2016
Medicare allows separate payment under the Medicare Physician Fee Schedule (MPFS) for non-face-to-face care coordination services furnished on or after Jan. 1, 2015, to Medicare beneficiaries with multiple chronic conditions (e.g., diabetes and depression). With only one code describing chronic care management (CCM), coding is straightforward. This may change in 2017. Proposed Changes In the 2017 ...