tci Medicare Compliance & Reimbursement - 2015 Issue 1

Reimbursement: Dig Into the Fine Details of Chronic Care Management Services

20 eligible patients could earn you up to $10,000 annually … if you follow the criteria to a tee. Practices and facilities that tag-team to support their most complex patients saw a big victory this fall. The Centers for Medicare & Medicaid Services (CMS) decided to reimburse non face-to-face care management services for the chronically ill starting in 2015 — a service many medical groups have been offering unreimbursed for years. “Historically, CMS had taken the position that payment for non-face-to-face care management services (such as medication reconciliation and coordination across care settings) is incorporated into the...

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