Pay for chronic care management easier in proposed fee schedule — but still a big lift

Why This Topic Matters

The article matters because it addresses a newly proposed Medicare payment opportunity that could affect care management workflows, staffing models, documentation systems, and billing strategy for practices deciding whether to pursue the service.

Article Sections

1. Chronic care management

   Introduces the proposed Medicare payment approach for chronic care management and summarizes how the proposal differs from prior-year guidance.

2. Rule proposes indirect supervision

   Discusses supervision-related changes in the proposal and how they compare with earlier CMS language and related care settings.

3. The hoops you have to jump through

   Outlines the operational, patient-consent, care-plan, communication, and EHR expectations associated with the proposed service.

4. How to make the payment worth it

   Covers practice workflow considerations, staffing approaches, and practice settings that may find the service easier to support.

5. Bill for TCM first then transition to CCM

   Reviews the relationship between chronic care management and transitional care management and notes other care coordination services discussed in the article.