Do you manage patient populations consisting of patients with two or more chronic conditions? If so, you may be able to bill a new Chronic Care Management (CCM) code under the 2015 Medicare Physician Fee Schedule.
CMS has established a payment rate of $42.60 for the new CCM code, which can be billed up to once per month per qualified patient. Specifically, the code reimburses practices for “non-face-to-face services” related to the management of patients. These services include “regular development and revision of a plan of care, communication with other treating health professionals, and medication management.” Billing requirements include:
- Use of ONC 2011 or 2014 certified EHR technology
- 20 minutes of non-face-to face time per qualified patient on chronic care management services
- Obtaining consent from qualifying patients
For more information on the new CCM provision, check out this CMS fact sheet and the final rule.
Watch for an announcement for an upcoming Webinar discussing the new CCM provisions and how NextGen Healthcare can help you take advantage of the new CCM provision.