Investigate the new community health, PIN care management services

Why This Topic Matters

These services introduce new Medicare billing pathways and workflow requirements for practices beginning in 2024. Understanding the finalized structure helps teams prepare staff training, consent processes, documentation, and monthly service tracking.

Article Sections

1. Coding

   Overview of the new CMS care management service categories and the general billing framework that applies to them. Introduces the monthly time-based structure and implementation timing.

2. Check the initiating visit for CHI

   Explains the initiating-visit concept for community health integration and the types of encounters discussed in connection with that service. Also covers patient consent and related practice workflow considerations.

3. CMS added PIN codes for behavioral health

   Summarizes the principal illness navigation family, including the role of auxiliary personnel and the general setting in which the services are discussed. Notes the peer-support variation and the need for staff training on the different service types.

4. Final codes and descriptors for principal illness navigation (PIN)

   Provides the finalized principal illness navigation code information and the associated service framework. Includes the peer-support variant and the implementation details discussed for that service family.

5. Final code and descriptor for community health integration (CHI)

   Provides the finalized community health integration code information and the associated service framework. Covers the general service structure and the finalized code set for this category.