Get Your Questions on Chronic Care Management Reimbursement Answered


On Jan. 1, 2015, Medicare began issuing a separate payment for chronic care management (CCM) services under CPT code 99490. This included 20 minutes of non-face-to-face care coordination for Medicare patients with two or more chronic health conditions. However, the Centers for Medicare and Medicaid Services (CMS) began receiving feedback from providers that service elements and billing requirements were too complex and redundant, as well as complaints that the code was not utilized frequently because it is underpaid compared to the resources spent.

Effective Jan. 1, 2017, CMS initiated billing changes in order to improve payment accuracy for CCM services and reduce administrative burden for providers.

PAMED's Quick Consult, updated for 2017, outlines the current guidelines that should be followed by physicians who are furnishing and billing chronic care management services. Get the Quick Consult here.



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