decisionhealth Newsletters, Part B News - 2017 Issue 2 (February)
How to bill cognitive assessment G0505 and CCM services simultaneously
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Article Overview
This article explains the 2017 Medicare fee schedule context for billing a cognition and functional assessment service alongside chronic care management and other care-management services. It is aimed at coders, billing staff, and clinicians who need to understand how overlapping care-planning activities are discussed in Medicare guidance and how the article frames related service coordination.
Why This Topic Matters
Correctly understanding when care-management services may be reported together affects claim accuracy, compliance review, and documentation strategy in outpatient and physician office settings.
Article Sections
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Question
Introduces the billing scenario and asks when related care-management services may be reported together. It also raises a question about whether one or more care plans are needed.
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Answer
Summarizes the Medicare fee schedule discussion and provides an example scenario involving cognitive concerns and ongoing chronic conditions. It also addresses how the article frames care planning, service overlap, and related claim considerations.
What You Will Learn
- The Medicare context for reporting a cognitive and functional assessment service with chronic care management
- How the article discusses service overlap among care-management and transitional care services
- How care-planning is presented when multiple service types are involved
- Which related service combinations the article says should not be used together
Who Should Read This
- Medical coders
- Billing specialists
- Compliance staff
- Physician practices
- Outpatient care teams
Codes Discussed
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