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

Survey: Infrastructure, Interoperability Key Barriers to Global HIT Development

A new survey report from Black Book Research on global healthcare IT adoption and records systems connectivity finds nations in various phases of regional electronic health record (EHR) adoption. The survey results also reveal rapidly advancing opportunities for U.S.-based and local technology vendors.

Penn Medicine Opens Up Telehealth Hub

Philadelphia-based Penn Medicine has opened its Center for Connected Care to centralize the health system’s telemedicine activities.

Roche to Pay $1.9B for Flatiron Health

Switzerland-based pharmaceutical company Roche has agreed to pay $1.9 billion to buy New York-based Flatiron Health Inc., which has both an oncology EHR and data analytics platform.

Financial Exec Survey: Interoperability Key Obstacle to Value-Based Payment Models

Momentum continues to grow for value-based care as nearly three-quarters of healthcare executives report their organizations have achieved positive financial results from value-based payment programs, to date, according to a new study from the Healthcare Financial Management Association (HFMA).

Cerner, Children's National to Help UAE Pediatric Center with Health IT

Al Jalila Children's Specialty Hospital, the only pediatric hospital in the United Arab Emirates, has entered into an agreement with Washington, D.C.-based Children's National Health System to form a health IT strategic partnership.

Telemedicine Association Names New CEO

The American Telemedicine Association (ATA) has named Ann Mond Johnson its new CEO, replacing Jon Linkous who stepped down suddenly last August after 24 years as the organization’s CEO.