tci Medicare Compliance & Reimbursement - 2015 Issue 1

Chronic Care Management: Know Your CCM Practitioner Arsenal

Good news: General supervision a go for CCM services. When the Centers for Medicare & Medicaid Services (CMS) released the proposed Medicare Physician Fee Schedule for 2015, supervision requirements for chronic care management services were set to be tighter. CMS cut some slack in the final rule, so make sure you’re up to date with the latest policies regarding who can perform CCM services. Advanced Practitioners, such as nurse practitioners and physician assistants, can provide and bill for CCM services independently — but only at 85 percent of the reimbursable rate. APs can, however, receive 100 percent of...

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