ccm

  1. J

    Wiki CCM: Can we bill 99490 & 99491 in the same calendar month?

    Our physician has spent 30+ minutes (99491) in addition to the clinical staff time of 20+ min (99490) in regards to CCM. The guidelines and CCI edits only specify that it cannot be billed on the same DOS. However, can we bill 99491 & 99490 on a separate DOS in the same month?
  2. M

    Wiki 99458 RPM / 99439 CCM

    CCM - Chronic Care Management threshold time is met at 15 minutes for the first 20 minutes. When "each additional" 20 minutes is met 99439 what is the minimum threshold? Provider(s) are stating is the same 15 minute rule is applicable, is this correct? RPM - Remote Patient Monitoring threshold...
  3. L

    Wiki Remote patient monitoring

    What are the reqirements to bill RPM with medicare? Can an urgent care clinic bill for the services with RPM and receive payment? Or does it have to be credentialed as a Primary care facility? We are just starting CCM and are trying to polish out all of the details.
  4. S

    Wiki Medicare CCM codes 99490 vs Care Management codes 98966,67,68

    Hello, I have been coding Chronic Care Management for almost 4 years. We use codes 99490 and 99439 (and rarely 99487). Within the past almost 2 years we have become PDCM certified so we began billing telehealth codes 98966,98967,98968 for PDCM eligible patients with BCBS, BCBS Medicare...
  5. K

    Wiki CCM - Chronic Care Management questions

    Hello all, Our office would like to start billing for CCM and in looking at all the information out there, I still have some questions that I hope someone may be able to answer or direct me to help get the correct answer(s). In the questions below, let's assume we do have the patient's verbal or...
  6. D

    Wiki non-face-to-face diabetes follow up provided by DM-E

    Hello All, We have a Diabetes Educator (DM-E) on staff who sees any patient that our PCP's have referred to her for services. Our ops team is looking to have the DM-E call our patients and follow-up on their progress (diet, meds etc.) through a survey after they receive her initial face-to-face...
  7. K

    Wiki Billing TCM & G0506 Together

    Hello, Looking for some feedback on billing TCM and CCM code G0506 together. It's been brought to our attention that these are denying when billed together. Wondering if a simple -25 modifier would fix or if this isn't allowed. Can't seem to find any clear documentation in the guidelines. Thanks!
  8. B

    Wiki CCM code reimbursement 1/1/18

    We are a physician office that uses Care managers that utilize the CCM codes. We are not a hospital entity, but we are a look-a-like Federally qualified health care organization. We use eclinicalworks EMR that has a module for purchase to capture this documentation and charges to maintain...
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