E/M Coding Alert - 2005 Issue 17
Disease Management: Disease Management Demo Projects In Effect
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Article Overview
This article explains new Medicare disease management demonstration activity and the related CMS Chronic Care Improvement Project initiative. It is aimed at providers, administrators, and coding or reimbursement professionals who want to understand the scope, locations, participating organizations, and general purpose of these programs.
Why This Topic Matters
These demonstration projects may affect how care is coordinated for beneficiaries with complex chronic conditions and may signal broader CMS program changes. Understanding the projects helps readers track Medicare pilot activity and its potential expansion.
What You Will Learn
- What the Medicare disease management demonstration is intended to address
- How the Florida demonstration project is structured at a high level
- How the Chronic Care Improvement Project fits into CMS disease management efforts
- Which organizations and locations are involved in the described projects
- Why these demonstration projects may be significant for future CMS expansion
Who Should Read This
- Healthcare providers
- Medical coders
- Billing professionals
- Practice managers
- Health plan administrators
- Care coordination staff
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