Care management is one of the critical components of primary care that contributes to better health for patients and reduced health care expenditures. The Centers for Medicare & Medicaid Services (CMS) introduced a non-visit-based payment code for chronic care management (CCM) services on Jan. 1, 2015. Clinicians can be paid for providing 20 minutes a month of care coordination services to their Medicare fee-for-service patients who have two or more chronic conditions.
Medicare's payment structure for eligible clinicians is approximately $42 per month (CPT code 99490) for providing non-face-to-face care and care coordination services to eligible patients. Read the Chronic Care Management Business Case for Participation to learn more about the benefits of offering CCM services and joining the CCM network.
The TMF Quality Innovation Network Quality Improvement Organization (QIN-QIO) is helping clinicians identify eligible patients and will assist with processes such as billing, documentation, and service tracking tools, as well as providing educational tools, resources, and events. Download the CCM fact sheet to learn more about working with the TMF QIN-QIO, and join the Chronic Care Management network.
In addition, TMA Practice Consulting provides these coding and documentation services, for a fee, available for continuing medical education credit:
- Coding and Documentation Review: a comprehensive analysis of a physician's coding and documentation techniques presented in a written report with specific findings and opportunities for improvement.
- Coding and Documentation Training: on-site training for physicians and staff on the coding and documentation guidelines, customized to the practice's specialty.
A TMA consultant certified as a professional coder and medical auditor performs these services. For expert assistance, email TMA Practice Consulting, or call (800) 523-8776.
Action, Dec. 15, 2016
Last Updated On
December 15, 2016