Part B Policy: Check Out 4 Care Management Proposals in the 2020 MPFS

Why This Topic Matters

Care management billing is tied to Medicare policy, so proposed updates can affect how practices report services, structure monthly care activities, and prepare for future rule changes. Readers who work with Medicare reimbursement or practice operations will want to monitor the final rule and comment deadline.

Article Sections

1. Change 1: Possible Unbundling of TCM Services

   Discusses a proposed policy change affecting transitional care management under the 2020 Medicare Physician Fee Schedule. The section focuses on the general direction of the proposal and related care management billing considerations.

2. Change 2: Time Increment Revision for Staff Reporting CCM

   Covers a proposed reporting update for chronic care management services and the introduction of temporary replacement codes. The section addresses timing, reporting structure, and implementation concerns.

3. Change 3: New Care Plan Components for Complex CCM

   Summarizes proposed changes related to complex chronic care management and the care plan elements tied to the service. It also notes CMS interest in revising the care plan framework.

4. Change 4: Launch of New PCM Services

   Introduces the proposed principal care management service for patients with a single high-risk condition. The section explains the general purpose of the new service and its place within care management policy.

5. Deadline

   Notes the public comment deadline for the proposed rule and the opportunity for stakeholders to provide feedback.

6. Resource

   Provides a reference to the proposed Medicare Physician Fee Schedule rule and related public documentation.