tci Medicare Compliance & Reimbursement - 2015 Issue 1

Existing Scope of Chronic Care Management Services

The Centers for Medicare & Medicaid Services (CMS) did not make new requirements for CCM services. Rather it restated the criteria spelled out in the 2014 fee schedule rule. Check out the criteria you must meet from the list given here. 1) 24/7 access to care management services.  2) Continuity of care (aka successive routine appointments available for the patient with a designated practitioner). 3) Care management for chronic conditions including:      a. Systematic assessment of patient’s medical, functional, and psychosocial needs,     b. System-based approaches to ensure timely delivery of preventive care services,  ...

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