ED Coding & Reimbursement Alert - 2015 Issue 1
Reimbursement: Dig Into the Fine Details of Chronic Care Management Services
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Article Overview
This article reviews Medicare payment policy for chronic care management services and explains the broad compliance issues practices must manage to support billing. It is aimed at physicians, billing teams, practice administrators, and compliance staff who need to understand the general reimbursement framework, patient consent considerations, documentation expectations, and operational tracking involved in CCM services.
Why This Topic Matters
The article is relevant because it summarizes how Medicare recognizes chronic care management services and highlights the operational and documentation processes practices must have in place to seek payment while reducing audit risk.
What You Will Learn
- How Medicare reimbursement for chronic care management services is framed
- What broad eligibility, documentation, and time-tracking issues affect CCM billing
- Why patient consent and care-plan management are important operational topics
- How practices may think about implementing CCM workflows and compliance processes
Who Should Read This
- Physicians
- Family medicine practices
- Practice managers
- Billing staff
- Compliance teams
- Health system administrators
Codes Discussed
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