decisionhealth Newsletters, Coder Pink Sheets - 2012 Issue 12 (December)
Select new CCCC codes based on time, whether a face-to-face visit is provided
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Article Overview
This article explains the CPT complex chronic care coordination (CCCC) codes introduced in 2013 and discusses the general circumstances in which they may be relevant for practices managing patients with multiple serious chronic conditions. It focuses on the monthly reporting structure, the relationship to other care coordination concepts, and the kinds of coordination activities and patient populations described by the source. The article is useful for coding professionals, family medicine practices, and organizations working in patient-centered or accountable care models that need to understand the scope of these CPT services.
Why This Topic Matters
Care coordination services can affect documentation, workflow, and payer reporting in practices that manage patients with complex chronic needs. Understanding the structure of these CPT services helps coders and clinicians evaluate whether the article applies to their patient management and billing scenarios.
Article Sections
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Overview of complex chronic care coordination
Introduces the CPT complex chronic care coordination services and places them in the broader context of care management and patient-centered models.
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Monthly code structure and selection criteria
Summarizes the monthly reporting framework and the general factors used to distinguish among the services discussed in the article.
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Relation to transitional care management and care settings
Describes how these services differ from transitional care management and identifies the general care settings associated with the codes.
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Typical patients and care coordination activities
Outlines the broad characteristics of patients who may need these services and the types of coordination work referenced in the article.
What You Will Learn
- How CPT complex chronic care coordination services are presented in the article
- How the monthly structure of the services is described
- What general patient populations are associated with these services
- How the article frames care coordination activities across settings
- How these services relate to broader care management models
Who Should Read This
- Medical coders
- Coding auditors
- Family medicine practices
- Care coordinators
- Practice managers
- Accountable care organizations
Codes Discussed
Code Ranges Discussed
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