decisionhealth Newsletters, Part B News - 2024 Issue 3 (March)
CCM and chronic CCM claims remain robust after pandemic
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Article Overview
This premium article examines how Medicare chronic care management activity changed in 2022 after the pandemic period, with attention to overall claim volume, denial patterns, and the specialties that most frequently billed these services. It is intended for coders, billing staff, compliance teams, and clinical practices that follow care management reimbursement trends and specialty-level utilization patterns.
Why This Topic Matters
Care management coding remains an important recurring revenue and documentation area for many practices. Understanding broad Medicare utilization trends and where claims are concentrated helps organizations monitor billing performance and benchmark specialty-level activity.
Article Sections
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Benchmark of the week
An overview of Medicare care management claim trends in 2022, including year-over-year movement, specialty concentration, and denial-rate patterns.
What You Will Learn
- How Medicare chronic care management activity trended in 2022
- Which specialties were the most frequent users of care management services
- How claim-denial patterns are discussed in relation to these services
- How post-pandemic utilization compares at a high level with prior years
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle teams
- Compliance professionals
- Primary care practices
- Specialty practices
Codes Discussed
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