decisionhealth Newsletters, Part B News - 2018 Issue 3 (March)
Add practice revenue, get a leg up on MIPS by wrapping in CCM services
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Article Overview
This article discusses chronic care management (CCM) as a practice strategy tied to revenue, care coordination, and value-based performance. It explains why CCM is gaining attention, how it relates to MIPS and broader cost-reduction efforts, and what practices should consider when building or expanding a CCM program. The article is aimed at physicians, practice administrators, billing staff, and care management leaders who want a general understanding of CCM adoption, operations, and reporting implications.
Why This Topic Matters
CCM can influence both financial performance and quality-reporting outcomes, making it relevant to practices navigating Medicare payment models and population health efforts. Understanding the article helps readers assess whether CCM fits their workflow, staffing, and compliance goals.
Article Sections
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CCM, spending, and practice revenue
Introduces the relationship between chronic care management, lower overall spending, and potential revenue effects for practices. Also places CCM in the context of broader value-based care trends.
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CCM and MIPS performance
Explains how CCM is discussed in relation to MIPS cost and improvement activities. Highlights the general connection between care coordination and reporting programs.
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Build a system to succeed
Reviews practical considerations for implementing a CCM program, including patient identification, staffing, and operational readiness. Also notes in-house and outsourced program models.
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Resources
Lists reference materials and external educational sources related to CCM and Medicare billing guidance.
What You Will Learn
- How CCM is positioned in relation to practice revenue and total cost of care
- How CCM connects to MIPS and value-based care programs
- What broad operational factors matter when building a CCM program
- What types of staffing and patient-selection considerations are discussed
- What external resources are referenced for further CCM information
Who Should Read This
- Physicians
- Practice administrators
- Billing and revenue cycle staff
- Care coordinators
- Quality reporting staff
- Primary care practices
Codes Discussed
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