How Much Do You Care About the 2022 Care Management Service Changes?

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Note:  The following article synopsis was NOT provided by BC Advantage. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains the 2022 changes to Medicare care management services and how the main service categories are organized. It is aimed at coders, billers, and clinical documentation staff who need a high-level understanding of the care management framework, the affected CPT code families, and the broad documentation and reporting considerations discussed in the article.

Why This Topic Matters

Care management reporting changed in 2021 and 2022, including new and revised CPT codes and the addition of a new service type. Understanding the updated structure helps billing and coding teams align documentation, care plans, and time tracking with the current Medicare-oriented guidance.

Article Sections

  1. Overview of 2022 care management service changes

    Introduces the scope of the changes and the three care management subcategories discussed in the article. It provides a broad framework for the service families covered.

  2. Chronic conditions commonly associated with care management

    Summarizes examples of chronic illnesses and condition types referenced in the article. This section helps frame the kinds of patients these services are intended to support.

  3. Initiating Care Management Services

    Describes the general setup process for beginning care management, including patient communication, consent, and care plan development. It also addresses electronic access and team involvement at a high level.

  4. Care Management Services Are Time-Based

    Explains that the services are tied to time tracking and references how service time is accounted for in the CPT framework. It also notes the relationship between primary and add-on reporting.

  5. Three Types of Care Management Services

    Provides an overview of the three care management categories and summarizes the broad distinguishing features of each. The section compares the general documentation and reporting themes across the service types.

  6. Chronic Care Management (CCM)

    Covers the chronic care management category and its general characteristics. It distinguishes the service family from the other care management types discussed in the article.

  7. Complex Chronic Care Management (CCCM)

    Summarizes the complex chronic care management category and the broad conditions associated with it. It highlights the category’s higher-complexity care coordination focus.

  8. Principal Care Management (PCM)

    Introduces the principal care management category, which is described as a newer service type. The section outlines its overall focus and reporting context.

What You Will Learn

  • How the 2022 care management service structure is organized
  • What broad documentation and care-plan themes are associated with care management services
  • How time-based reporting is discussed for these service families
  • How the three main care management categories differ at a high level
  • Which general patient condition types are commonly associated with care management

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance teams
  • Physician practices
  • Clinical documentation staff
  • Healthcare administrators

Codes Discussed


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