decisionhealth Newsletters, Part B News - 2014 Issue 11 (November)
Learn to coordinate, offer clear explanation to patients to claim new CCM code
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Article Overview
This article explains the operational and communication work practices should consider when preparing to furnish and bill chronic care management services under Medicare. It focuses on patient consent and education, care-team staffing and scope considerations, coordination with outside support services, use of automation for non-face-to-face work, and how CCM fits alongside broader care-delivery models.
Why This Topic Matters
It helps physicians, practice managers, and coding/billing staff understand the administrative and workflow changes needed to support CCM participation and patient communication. The topic is relevant to practices building or refining chronic care infrastructure and trying to align care coordination with Medicare billing requirements.
Article Sections
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Chronic care management
Introduces the chronic care management topic and frames the article around Medicare billing preparation and care coordination. Provides the overall context for the discussion that follows.
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More than vitals
Describes broader care-management activities that may be part of CCM workflows for patients with multiple chronic conditions. Emphasizes assessment and coordination elements beyond routine vital signs.
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5 CCM prep points
Outlines practical preparation topics for practices considering CCM services. Covers consent and communication, staffing considerations, external resource coordination, automation, and related practice models.
What You Will Learn
- How the article frames chronic care management in a Medicare billing context
- What types of operational preparation practices should consider before offering CCM
- Why patient communication and consent are central to CCM workflows
- How staffing, scope, and care-team coordination are discussed in relation to CCM
- What kinds of external support services and workflow tools may be relevant to CCM
- How CCM relates broadly to other coordinated-care delivery models
Who Should Read This
- Physicians
- Practice managers
- Clinical staff
- Medical coders
- Billing staff
- Care coordination teams
Codes Discussed
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