tci Medicare Compliance & Reimbursement - 2015 Issue 6
Compliance: Who Can Provide Chronic Care Management?
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Article Overview
This compliance-focused article summarizes CMS guidance on which practitioners and clinical staff may furnish chronic care management services and the general supervision framework that applies. It is aimed at coding and billing professionals, compliance staff, and practitioners who need to understand staffing, documentation, and billing context for chronic care management under Medicare rules.
Why This Topic Matters
Understanding who can perform chronic care management services is important for compliant staffing, documentation, and billing workflows. The article helps readers assess whether their care team structure aligns with CMS guidance for these services.
Article Sections
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CMS webinar guidance on chronic care management
Introduces the CMS webinar discussion and the practitioner categories addressed in the guidance. It frames the article’s focus on service furnishing and compliance context.
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Clinical staff supervision and counted work time
Discusses the supervision framework for clinical staff and the kinds of work time described in the webinar. The section centers on operational and documentation-related considerations.
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Provider types and billing context
Covers the broader practitioner groups referenced in connection with chronic care management and the overall billing context. It also notes the relationship to initiating the service during a prior face-to-face encounter.
What You Will Learn
- Which practitioner categories are addressed in CMS guidance for chronic care management
- How clinical staff supervision is described in the webinar discussion
- What general staffing and documentation topics are associated with chronic care management compliance
- How chronic care management fits into broader billing and visit context
Who Should Read This
- Medical coders
- Medical billers
- Compliance professionals
- Physicians and other practitioners
- Practice managers
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