Coding for the ‘medical home’: Procedures and E/Ms

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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 discusses the pediatric medical home concept and why it matters in chronic care coordination. It is aimed at pediatric primary care coders and clinicians interested in procedure and E/M coding topics tied to care management, consultation, prolonged services, and home services in a medical home setting.

Why This Topic Matters

It helps readers understand the general coding and reimbursement context around pediatric medical home care, a topic that affects care coordination and payer incentives for complex patients.

What You Will Learn

  • The basic pediatric medical home concept
  • Why payers may support care coordination in this setting
  • The general coding topics associated with medical home-related care
  • Who may find the medical home discussion relevant

Who Should Read This

  • Pediatricians
  • Primary care coders
  • Health information professionals
  • Practice managers
  • Medical billing staff

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