decisionhealth Newsletters, Part B News - 2018 Issue 7 (July)
In-house or outboard, check these 7 CCM steps to see whether you can do it
Subscribe or sign in to view the full article.
Article Overview
This article reviews chronic care management (CCM) from a practice-operations and reimbursement perspective. It is aimed at primary care providers, practice administrators, and coding/billing staff who want to understand the general requirements, workflow considerations, vendor-supported options, and common implementation checkpoints associated with CCM. The article also touches on related care management services and the need to coordinate CCM with documentation, EHR support, patient eligibility review, and claims oversight.
Why This Topic Matters
CCM can affect both patient care coordination and practice revenue, but it also introduces workflow, documentation, and billing complexity. Understanding the operational considerations helps practices decide whether CCM is feasible in-house, better handled with outside support, or worth reviewing for compliance and profitability.
Article Sections
-
Chronic care management overview
Introduces the topic of CCM and frames the article around practice decisions about whether to manage the service internally or through outside support. Summarizes broad adoption and payment context.
-
When to enlist outside help
Describes vendor-supported CCM services and the kinds of practice functions that may be handled externally. Covers general workflow and staffing arrangements at a high level.
-
7 tips for potential CCMers
Outlines practical areas practices should review before offering CCM, including documentation, eligibility review, program oversight, peer learning, EHR readiness, and related service coordination.
What You Will Learn
- The operational factors practices consider before starting or outsourcing CCM
- The general types of staffing and workflow support that may be involved in CCM
- How practices think about documentation, eligibility, and EHR readiness for CCM
- The relationship between CCM and other care management services at a high level
Who Should Read This
- Primary care physicians
- Practice administrators
- Medical coders
- Billing staff
- Care management leaders
- Revenue cycle staff
Codes Discussed
Code Ranges Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com