Providing and Billing Medicare for Chronic Care ... - PYA

Providing and Billing Medicare for Chronic Care Management services Updated March 2021 2021 PYA, portion of this white paper may be used or duplicated by any person or entity for any purpose without the express written permission of ARE AN INDEPENDENT MEMBER OF HLB THE GLOBAL ADVISORY AND ACCOUNTING NETWORK2 | Providing and Billing Medicare for Chronic Care Management services 2021 PYA, 2021 UpdateMedicare began reimbursing physicians for Chronic care management (CCM) services in January 2015 under CPT 994901 in response to anecdotal evidence that care management services reduce the total costs of care and improve patient November 2017, the Centers for Medicare & Medicaid services (CMS) evaluation contractor, Mathematica, published its analysis2 of CCM s impact on Medicare spending from 2014 to 2016.

Services Professional Services Total Medicare Expenditure 6-month follow-up period ... in the 2020 Medicare Physician Fee Schedule Final Rule, CCM is “increasing patient and practitioner satisfaction, ... (HCPCS G0182), and (4) certain end-stage renal disease

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