CMS Launches Chronic Care Management Education Initiative for Clinicians | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

CMS Launches Chronic Care Management Education Initiative for Clinicians

March 15, 2017
by Heather Landi
| Reprints

Chronic care management (CCM) is a critical component of primary care that contributes to better outcomes and care, yet it often requires time and effort by clinicians to provide the between-appointment services that patients need to stay on track with their treatment plans.

In recognition of this, the Centers for Medicare & Medicaid Services (CMS) established a separate payment under billing codes for the additional time and resources clinicians spend to provide that between-appointment help to Medicare and dual eligible (Medicare and Medicaid) patients. In January 2015, CMS adopted a new service code to improve payment and access to CCM services for Medicare and dual eligible beneficiaries who have two or more serious chronic conditions.

To help educate clinicians about the chronic care management codes, CMS has launched a Connected Care: The Chronic Care Management Resource education initiative. The initiative includes a healthcare professional toolkit and written materials and webinars to educate clinicians about what they need to do to bill Medicare under the codes. The first webinar takes place today, March 15th, at 3 pm.

According to CMS, CCM has been payable since 2015 under CPT code 99490. This code allows eligible practitioners and suppliers to bill $43 for at least 20 minutes of non-face-to-face clinical staff time directed by a physician or other qualified health professionals each month to coordinate care for beneficiaries who have two or more serious chronic conditions that are expected to last at least 12 months. In November 2016, CMS announced rule changes to the Medicare Physician Fee Schedule in response to feedback and insights from health care professionals across the United States to enable reimbursement for more complex and more time-intensive chronic care coordination effective January 2017.

 

 

Get the latest information on Health IT and attend other valuable sessions at this two-day Summit providing healthcare leaders with educational content, insightful debate and dialogue on the future of healthcare and technology.

Learn More

Topics

News

Healthcare Execs Anticipate High Cost Returns from Predictive Analytics Use

Healthcare executives are dedicating budget to predictive analytics, and are forecasting significant cost savings in return, according to new research from the Illinois-based Society of Actuaries.

Adam Boehler Tapped by Azar to Serve as Senior Value-Based Care Advisor

Adam Boehler, currently director of CMMI, has also been named the senior advisor for value-based transformation and innovation, HHS Secretary Alex Azar announced.

Vivli Launches Clinical Research Data-Sharing Platform

On July 19 a new global data-sharing and analytics platform called Vivli was unveiled. The nonprofit group’s mission is to promote, coordinate and facilitate scientific sharing and reuse of clinical research data.

Survey: More Effective IT Needed to Improve Patient Safety

In a Health Catalyst survey, physicians, nurses and healthcare executives said ineffective information technology, and the lack of real-time warnings for possible harm events, are key obstacles to achieving their organizations' patient safety goals.

Physicians Still Reluctant to Embrace Virtual Tech, Survey Finds

While consumers and physicians agree that virtual healthcare holds great promise for transforming care delivery, physicians still remain reluctant to embrace the technologies, according to a new Deloitte Center for Health Solutions survey.

Geisinger, AstraZeneca Partner on Asthma App Suite

Geisinger has partnered with pharmaceutical company AstraZeneca to create a suite of products that integrate into the electronic health record and engage asthma patients and their providers in co-managing the disease.