decisionhealth Newsletters, Part B News - 2019 Issue 7 (July)
Bills take aim at CCM co-pays; you can expand now with a personal approach
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Article Overview
This article discusses pending federal bills aimed at removing patient cost-sharing for chronic care management under Medicare and explains why the issue matters to practices, physicians, and patients. It also covers broader guidance on improving CCM enrollment, including how to present the service, train staff, and support patient conversations about participation and payment. The piece is relevant to primary care, care coordination teams, and medical coding and reimbursement professionals following Medicare policy and CCM adoption trends.
Why This Topic Matters
The topic affects how practices explain and offer chronic care management services, and it may influence patient uptake, billing workflow, and future Medicare policy. It is useful for organizations that bill CCM and for professionals tracking legislative changes that could alter patient cost-sharing.
Article Sections
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A look behind the bills
Summarizes proposed federal legislation and stakeholder support related to Medicare cost-sharing policy for chronic care management. It also frames the broader policy context and why the issue is being debated.
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Overcome enrollment obstacles
Discusses practice-level approaches to improving patient participation in chronic care management. The section focuses on communication, staff readiness, and general enrollment barriers.
What You Will Learn
- The policy context surrounding proposed changes to chronic care management cost-sharing
- Why chronic care management enrollment remains limited in many practices
- General approaches to discussing CCM with patients in a clearer, more personal way
- Ways practices can prepare staff for conversations about CCM and related services
- Broader considerations for patient payment discussions in non-face-to-face services
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Primary care practices
- Care coordination teams
- Practice managers
- Physicians
- Compliance and revenue cycle professionals
Codes Discussed
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