decisionhealth Newsletters, Part B News - 2016 Issue 11 (November)
Capture additional dollars with new, reworked CCM codes as CMS eases rules
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Article Overview
This article explains 2017 changes to Medicare chronic care management billing and payment. It covers revised CCM service categories, the introduction of a new add-on code for initiating visits, and updated CMS guidance affecting reporting and administrative requirements. The article is aimed at physicians, coders, billers, and practice administrators who work with Medicare care management services and want to understand the scope of the updated CCM framework.
Why This Topic Matters
The 2017 CCM updates affect how practices document, report, and get paid for chronic care management services. Understanding the changes helps billing teams identify opportunities to align workflows with revised Medicare requirements and new payment structures.
Article Sections
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2017 CCM payment and code changes
Introduces the Medicare chronic care management updates for 2017 and summarizes the areas of payment and code revision covered in the article.
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Trends suggest growth in CCM
Discusses broader adoption trends for chronic care management and CMS’s interest in expanding use of these services.
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Initiating visit changes; new code added
Covers changes related to initiating visits and the addition of a CCM-related service code, along with updated billing context.
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Find eased administrative work
Summarizes CMS revisions intended to reduce administrative burden and simplify certain CCM billing requirements.
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Care management codes, RVUs and payment, 2017
Presents the article’s payment and relative value information table for the CCM-related services discussed.
What You Will Learn
- How 2017 Medicare chronic care management billing changed
- What general types of CCM-related services were added or revised
- How CMS approached payment and administrative requirements for CCM
- Which kinds of practice workflows are affected by CCM reporting updates
Who Should Read This
- Physicians
- Medical coders
- Medical billers
- Practice administrators
- Revenue cycle staff
Codes Discussed
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