tci E/M Coding Alert - 2014 Issue 11

Reader Question: Keep an Eye on Chronic Care Payment Rate

Question: What is the final rule from CMS on the payment rate change for care management codes? Maine Subscriber Answer: Along with the proposal for separate payment for chronic care management (CCM) in 2015, CMS proposes a payment rate of $41.92 for the 99487-99489 (Complex chronic care coordination services; …) codes. These codes can be billed no more than once per month, per qualified patient. Last year’s final rule from CMS created a policy to make separate payment for non-face-to-face chronic care management services for Medicare beneficiaries who have multiple, significant chronic conditions (two or more)...

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