decisionhealth Newsletters, Coder Pink Sheets - 2016 Issue 9 (September)
CCM services: Eased billing rules await in 2017; new complex codes proposed
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Article Overview
This article explains proposed 2017 Medicare policy changes affecting chronic care management services. It focuses on how CMS would expand the available CPT code set, relax several administrative requirements, and adjust related payment and documentation expectations. The piece is aimed at medical coders, billing staff, and practices that furnish chronic care management services and need to understand proposed fee schedule updates and operational implications.
Why This Topic Matters
Chronic care management billing is sensitive to documentation, consent, communication, and payment rules. Understanding proposed changes helps practices prepare for coding and workflow updates tied to Medicare reimbursement.
Article Sections
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CCM code updates and proposed payment structure
Introduces the chronic care management topic and summarizes the proposed expansion of the applicable CPT code set along with the general payment framework discussed in the article.
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Note 7 key changes to CCM rules
Outlines the major proposed revisions to billing and service requirements for chronic care management under Medicare.
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Care management codes, RVUs and payment, 2017
Presents the proposed 2017 payment table and relative value information associated with the chronic care management codes discussed in the article.
What You Will Learn
- Which chronic care management topics are affected by the proposed 2017 Medicare changes
- How the article frames the shift in billing and documentation requirements
- What general categories of payment information are provided for the affected service codes
- Which operational areas of CCM compliance are addressed in the proposed rule
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Practice managers
- Primary care practices
- Compliance teams
- Providers furnishing chronic care management services
Codes Discussed
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