tci Medicare Compliance & Reimbursement - 2016 Issue 9

Understand the CPC+ Model's 5 Key Components

Can you provide enhanced office hours and 24/7 access? Before you jump on-board with the new Comprehensive Primary Care Plus (CPC+) model, you’d better take a closer look at what the Centers for Medicare & Medicaid Services (CMS) will require from your primary care practice to participate. Nabbing those extra incentive payments won’t be easy, and you’ll have to repay the extra reimbursement if you don’t measure up. The CPC+ model requires participating practices to offer the following key primary care functions: Access and Continuity: Services must be accessible and responsive to an individual’s...

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