decisionhealth Newsletters, Part B News - 2017 Issue 12 (December)
Combine CCM with BHI, outside partners as utilization takes off
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Article Overview
This article explains how rising utilization of Medicare chronic care management has prompted practices to consider combining it with behavioral health integration and collaborative care approaches. It covers the general direction of 2018 coding updates, compares service structures and payment considerations, and describes the role of outside vendors, ACOs, and other partners in supporting care management programs. The piece is aimed at practices, billers, and administrators evaluating care management workflows and reimbursement strategy.
Why This Topic Matters
It helps readers understand why care management and behavioral health integration are increasingly important to practice operations, value-based care, and Medicare billing strategy. The article also highlights how service design and outside partnerships can influence both patient management and financial performance.
Article Sections
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Chronic care management growth
Introduces the increasing use of Medicare chronic care management and the general trend in claims and denials. It frames why the service is drawing attention from practices.
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BHI plus CCM
Discusses how chronic care management may be considered alongside behavioral health integration and collaborative care programs. It also notes the broader category of 2018 coding updates and related billing considerations.
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Cuts costs too
Explores operational and financial reasons some practices may combine care management with behavioral health services. It includes discussion of outside vendors, accountable care organizations, and value-based care context.
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Get with the program
Addresses the importance of structuring chronic care management as a serious practice service within evolving payment models. It also touches on workflow support, patient engagement, and reporting tools.
What You Will Learn
- How chronic care management utilization is changing in Medicare
- How behavioral health integration and collaborative care relate to care management
- What broad types of coding updates are associated with 2018 service reporting
- Why practices may consider outside partners for care management support
- How value-based payment trends affect care management program planning
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Primary care administrators
- Care management program leaders
Codes Discussed
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