decisionhealth Newsletters, Part B News - 2017 Issue 9 (September)
Specialists seize a chunk of the $31 million in CCM payments
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Article Overview
This article reviews 2015 Medicare chronic care management payment data and shows how participation extended beyond primary care into multiple specialty groups. It highlights which specialties accounted for the largest share of claims and payments, notes denial-rate differences, and places the discussion in the context of CCM coding changes that followed. The piece is useful for coders, billers, practice managers, and specialty groups evaluating CCM reporting trends and Medicare payment behavior.
Why This Topic Matters
It helps readers understand how CCM services were being adopted across specialties, which can inform practice benchmarking, compliance awareness, and revenue-cycle planning.
Article Sections
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Benchmark of the week
A brief overview of Medicare chronic care management payment patterns across specialties, including claim volume, reimbursement distribution, and denial-rate comparisons. The section also notes later CCM code additions and their general timing.
What You Will Learn
- How Medicare CCM payments were distributed across specialties in the first year of the service
- Which specialties represented the largest share of claims and reimbursement
- How denial rates varied among specialty groups
- What broader CCM coding changes were mentioned in connection with later reporting periods
Who Should Read This
- Medical coders
- Medical billers
- Practice managers
- Revenue cycle staff
- Physician specialists
- Compliance staff
Codes Discussed
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