decisionhealth Newsletters, Part B News - 2016 Issue 9 (September)
Build in workflow, create a tagging system to succeed with CCM payments
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Article Overview
This article explains how practices have approached chronic care management (CCM) billing, with emphasis on workflow setup, patient identification, documentation tracking, and the use of practice management or EHR tools. It also discusses early Medicare experience, specialty participation, and proposed CMS changes affecting reporting burden. The piece is intended for billing staff, coders, revenue cycle leaders, and clinical practices evaluating whether their CCM operations are organized for reimbursement success.
Why This Topic Matters
CCM can create reimbursement opportunities for services many practices already provide, but only when patient engagement and documentation are tracked consistently. The article is relevant to teams trying to improve billing performance, reduce missed claims, and streamline CCM operations.
Article Sections
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CCM billing performance and adoption
Introduces the early Medicare experience with chronic care management billing and the general level of uptake across practices. It frames the discussion around participation, claim submission patterns, and overall interest in CCM services.
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It’s all about a system
Focuses on operational approaches practices use to organize CCM work, including patient tracking, encounter management, EHR support, and outsourced assistance. It emphasizes workflow consistency and documentation infrastructure.
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Internal medicine, primary care lead the pack
Summarizes specialty-level participation in CCM claims and notes which fields submitted the most claims. It also references proposed CMS changes that could affect reporting burden.
What You Will Learn
- How practices organize chronic care management workflows
- Why patient identification and tracking matter for CCM billing
- How EHR and practice management tools can support CCM operations
- Which specialties have been prominent in CCM claim submission
- What kinds of CMS policy changes were being discussed for CCM reporting
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle managers
- Primary care practices
- Specialty practices
- Practice administrators
Codes Discussed
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