bzapf04
New
- Messages
- 1
- Location
- Perkasie, PA
When it comes to coding, documentation, etc. for APCM coding, how are your offices handling this?
We know patient consent, the initial visit, continuity of care availability for alternative care deliver, the pt-centered care plan, 24/7 access to care, coordinating care transitions, enhanced communication opportunities with the portal, and the requirements for data analytics and risk stratification. What is unclear is the details behind the comprehensive care management and ongoing communication. We are having some ongoing issues when it comes to the comprehensive care management and the ongoing communication.
Does there need to be patient engagement each month before the code is billed? As in a phone call, documented conversion or a portal message OR is your office waiting for a patient to call or message the office and then the code is billed?
When there is no direct conversation with the patient, is there no APCM billed for the month?
If all requirements are being met are you billing APCM even if there is no engagement/conversation?
Also, when you are reviewing the providers documentation, what requirements are you checking off to ensure correct coding?
Thank you in advance for any information you can offer! It is greatly appreciated!!
We know patient consent, the initial visit, continuity of care availability for alternative care deliver, the pt-centered care plan, 24/7 access to care, coordinating care transitions, enhanced communication opportunities with the portal, and the requirements for data analytics and risk stratification. What is unclear is the details behind the comprehensive care management and ongoing communication. We are having some ongoing issues when it comes to the comprehensive care management and the ongoing communication.
Does there need to be patient engagement each month before the code is billed? As in a phone call, documented conversion or a portal message OR is your office waiting for a patient to call or message the office and then the code is billed?
When there is no direct conversation with the patient, is there no APCM billed for the month?
If all requirements are being met are you billing APCM even if there is no engagement/conversation?
Also, when you are reviewing the providers documentation, what requirements are you checking off to ensure correct coding?
Thank you in advance for any information you can offer! It is greatly appreciated!!