decisionhealth Newsletters, Part B News - 2016 Issue 7 (July)
CCM services: Eased billing rules await in 2017; new complex codes proposed
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Article Overview
This article summarizes proposed 2017 Medicare physician fee schedule updates for chronic care management (CCM). It focuses on changes to CCM reporting, payment categories, beneficiary consent, care coordination documentation, and related administrative requirements. The piece is aimed at coders, billers, and practice staff tracking CMS policy changes that may affect CCM reimbursement and workflow.
Why This Topic Matters
The article matters because it highlights proposed CMS changes that could affect how practices report CCM services, document patient consent and communication, and understand the evolving reimbursement structure for care management.
Article Sections
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Overview of proposed CCM changes
Introduces the planned 2017 Medicare updates affecting chronic care management services and the addition of new CCM-related billing options.
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Note 7 key changes to CCM rules
Summarizes the major proposed revisions to CCM service requirements, including changes to initiating visits, consent, information sharing, and care plan communication.
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Care management codes, RVUs and payment, 2017
Presents the proposed payment and relative value information associated with the CCM code set for 2017.
What You Will Learn
- How the article frames proposed changes to chronic care management billing
- What general areas of CCM service requirements CMS proposed to revise
- How the article compares the CCM payment structure discussed for 2017
- Which documentation and communication topics are covered in the policy update
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Compliance staff
- Physician office administrators
Codes Discussed
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