CCM claims double in 2016 — and most specialties have low denial rates

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article examines Medicare chronic care management billing trends after CMS began paying for the service, focusing on 2016 claim volume, denial rates, specialty participation, and reimbursement context. It is useful for coders, billing staff, compliance teams, and providers who want a high-level view of how CCM claims were being reported across specialties and care settings. The article also notes related chronic care management codes and broader policy timing that affected billing activity.

Why This Topic Matters

Understanding how CCM claims were being billed and denied across specialties can help practices gauge utilization patterns, identify operational interest in the service, and monitor Medicare payment developments affecting care management reporting.

What You Will Learn

  • How chronic care management billing activity changed from 2015 to 2016
  • Which specialties accounted for most CCM claims
  • How denial rates varied across specialties
  • How CMS payment timing affected related chronic care management reporting
  • How reimbursement context changed for the main CCM service

Who Should Read This

  • Medical coders
  • Billing staff
  • Practice managers
  • Compliance professionals
  • Physicians
  • Advanced practice providers

Codes Discussed


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