Keep track of your CCM work — your own and your vendor’s — to avoid trouble

Why This Topic Matters

CCM programs are a common source of audit and billing risk because the service is spread across clinical and administrative tasks and may involve outside vendors. Understanding the boundaries of delegated work, documentation, and monthly tracking helps practices reduce exposure to compliance problems.

Article Sections

1. DOJ settlement and CCM vendor compliance concerns

   Summarizes a government enforcement action involving CCM-related services and highlights the broader compliance concerns that can arise when vendors are part of the workflow.

2. CMS guidance on billing practitioner responsibility

   Discusses CMS commentary on CCM billing responsibilities, including the role of the billing practitioner and the limits of delegation. It also notes the article’s reference to related service categories and care-team participation.

3. Tracking monthly CCM activity and patient monitoring

   Explains the importance of ongoing patient tracking, documentation, and care coordination in monthly CCM operations. The section emphasizes monitoring responsibilities and recording service time.

4. Resources

   Lists external references cited in the article, including government and CMS source materials.