Pay for chronic care management easier in proposed fee schedule

Subscribe or sign in to view the full article.

Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers proposed CMS changes in the 2015 Medicare physician fee schedule related to chronic care management and related services. It is aimed at physicians, practice managers, coders, and compliance staff who need to understand how the proposed rules affect service delivery, supervision, documentation, patient consent, and electronic health record expectations. The discussion also compares chronic care management with transitional care management and other care supervision services.

Why This Topic Matters

The proposed changes could affect whether practices can bill for chronic care management and how they organize staff, documentation, and technology to support it. It also highlights how related care management services may interact under Medicare billing rules.

Article Sections

  1. Proposed changes to chronic care management in the 2015 fee schedule

    Introduces the CMS proposal and summarizes the overall direction of the changes affecting chronic care management services.

  2. Rule proposes indirect supervision

    Describes changes to supervision requirements for care management services and the role of clinical staff under the proposal.

  3. The hoops you have to jump through

    Reviews the continuing documentation, patient consent, continuity, coordination, communication, and electronic record expectations tied to the service.

  4. Bill for TCM first then transition to CCM

    Explains how chronic care management relates to transitional care management and other supervised care services under the proposal.

What You Will Learn

  • How the proposed CMS fee schedule changes affect chronic care management
  • What broad operational requirements remain associated with chronic care management
  • How supervision and staffing changes may affect practice workflows
  • How chronic care management is discussed alongside transitional care management and other Medicare services
  • What types of documentation and technology capabilities are emphasized in the proposal

Who Should Read This

  • Physicians
  • Practice managers
  • Medical coders
  • Billing staff
  • Compliance professionals
  • Health care administrators

Codes Discussed

Code Ranges Discussed


Subscribe or sign in to view the full article.

Official DecisionHealth® Newsletter Archives includes:

  • Includes over 25,000 articles from:
    • Coder Pink Sheets
    • Part B News
    • Answer Books newsletters
  • Current newsletters added each quarter
  • Timely news and guidance vital for your practice
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to the Find-A-Code Code Information pages
  • Code Information pages link back to related articles
  • Save yourself tons of research time, find everything in one place!
Access to this feature is available in the following products:
  • DecisionHealth Coding, Billing and Compliance Library

Related Articles

Articles are listed in order of calculated relevance.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?