decisionhealth Newsletters, Part B News - 2023 Issue 4 (April)
Primary care won CCM, but other specialties rose up for PCM codes
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Article Overview
This article reviews Medicare Part B reporting trends for chronic care management and principal care management services, with attention to how different specialties ranked once principal care management was introduced. It is useful for coders, billing staff, and practices that track chronic care management utilization, specialty participation, and the CPT/HCPCS code framework used to report these services. The article also includes a reference list of the chronic care management codes discussed in the analysis.
Why This Topic Matters
It helps readers understand how chronic care management and principal care management reporting has shifted across specialties and service settings, which can support benchmarking and awareness of commonly reported code families.
Article Sections
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Medicare reporting trends by specialty
Introduces the comparison of chronic care management and principal care management reporting across specialties using Medicare claims data.
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Chronic care management codes – 2020-2021
Provides a reference list of chronic care management-related codes and their associated time-based service categories.
What You Will Learn
- How chronic care management and principal care management reporting is organized in the article
- Which broad specialty groups are highlighted in the Medicare data review
- What code families are associated with the chronic care management services discussed
- How the article frames comparisons between supervised clinical staff and physician/QHP reporting
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Healthcare administrators
- Compliance staff
- Physician groups
Codes Discussed
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