Care Management: Take Care to Cultivate CCM in Your Practice

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers how chronic care management programs are structured and maintained in a practice setting, with attention to Medicare-related billing concepts, documentation expectations, patient consent, and time tracking. It is aimed at physicians, QHPs, coders, billers, and practice managers who want a high-level understanding of care-management program requirements and related service categories. The article also discusses how multiple care-management service types fit together and which broad kinds of activities may or may not be counted toward reported time.

Why This Topic Matters

Care-management services can create new revenue opportunities while supporting patients with chronic or high-risk conditions, but they also require careful attention to documentation, consent, and service selection. Understanding the overall framework helps practices build compliant workflows and avoid overlapping reporting issues.

Article Sections

  1. Know What Goes Into CCM

    Introduces the general components of a chronic care management program, including patient eligibility concepts, documentation expectations, consent, and time-based reporting. The section also references Medicare and the related CPT and HCPCS framework.

  2. Know How to Handle Patients With Single or Complex Conditions

    Discusses how care-management services may differ for single high-risk conditions versus more complex chronic care scenarios. It also covers the broader context for newer Medicare-focused care-management options and time thresholds.

  3. Know What Activities Count, or Don’t Count, in a CCM Program

    Reviews categories of work that may be included in or excluded from care-management time calculations. The section also notes related services that can overlap with other reporting categories.

  4. The Final Word

    Provides a brief closing perspective on the relevance of chronic care management for practices with Medicare populations.

What You Will Learn

  • How chronic care management programs are generally organized
  • What broad documentation and consent topics are associated with care management
  • How time-based reporting is discussed for CCM and related services
  • Which general categories of activities may be included or excluded from care-management time
  • How practices can think about care-management offerings for chronic or high-risk patients

Who Should Read This

  • Physicians
  • Qualified health care professionals
  • Medical coders
  • Medical billers
  • Practice managers
  • Care coordination staff

Codes Discussed

Code Ranges Discussed


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