ED Coding & Reimbursement Alert - 2020 Issue 1
Care Management: Are You Making These 5 Big Changes to Your Care Management Coding?
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Article Overview
This article explains major 2020 Medicare care management updates from CMS and their impact on transitional care management, chronic care management, and remote physiologic monitoring. It is aimed at coders, billing staff, and clinicians who report care management services and want to understand the types of policy revisions, add-on reporting changes, and supervision-related guidance discussed in the 2020 Physician Fee Schedule final rule.
Why This Topic Matters
The article highlights care management policy changes that affect how services are reported and coordinated under Medicare, making it relevant for organizations tracking reimbursement and compliance updates for 2020.
Article Sections
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TCM Gets Unbundled
Summarizes CMS changes affecting transitional care management and discusses the related service categories referenced as payable alongside it.
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TCM Gets Revalued
Covers the 2020 valuation update for transitional care management and its significance within the fee schedule discussion.
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CCM Gets an Add-on Code
Explains the chronic care management update introducing an add-on code and the broader reporting context described in the article.
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… with a Care Plan Change
Describes revisions to chronic care management care plan language and related policy adjustments for complex care management reporting.
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And CMS Makes RPM a Care Management Service
Reviews CMS treatment of remote physiologic monitoring as a care management service and the associated timing framework discussed in the article.
What You Will Learn
- How CMS updated care management policies in the 2020 Physician Fee Schedule
- Which broad care management service categories were affected by the revisions
- How the article frames reporting and coordination changes for Medicare care management services
- What types of add-on, valuation, and supervision topics are discussed for 2020
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Primary care practices
- Care management teams
- Physician office administrators
Codes Discussed
Code Ranges Discussed
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