tci Medicare Compliance & Reimbursement - 2015 Issue 13

Learn From CCM FAQs to Prevent Claims Denials

Why an answering machine won’t meet the 24/7 requirement. When it comes to billing the new chronic care management (CCM) services code 99490, there’s no shortage of questions from providers. Here are just a few of those frequently asked questions (FAQs):  Question 1:  What should we use as a date of service for CCM? Answer 1:  “CMS has not addressed this particular question,” answers Kent Moore, senior strategist for physician payment for the American Academy of Family Physicians (AAFP). CCM code 99490 encompasses a calendar months’ worth of work. Try this: Consider entering the first...

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