tci Medicare Compliance & Reimbursement - 2015 Issue 13

Reimbursement: Avoid Making 7 Common Mistakes When Billing for Chronic Care Management

Don’t try to bill certain services during the same month as CCM. If you’re not billing chronic care management (CCM) services correctly, you’re leaving deserved Medicare reimbursement on the table. And falling into a myriad of hidden traps when coding CCM services is pretty easy to do. As of Jan. 1, Medicare will pay you separately under the physician fee schedule for CPT® code 99490 for non-face-to-face care coordination services with multiple chronic conditions. The Centers for Medicare & Medicaid Services (CMS) defines such CCM services as at least 20 minutes of clinical staff time directed...

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