Zenservice

In 2015, Medicare began paying separately under the Medicare Physician Fee Schedule (PFS) for CCM services furnished to Medicare patients with multiple chronic conditions.

Examples of chronic conditions include, but are not limited to, the following:

 

  • Alzheimer’s disease and related dementia
  • Arthritis (osteoarthritis and rheumatoid)
  • Asthma
  • Atrial fibrillation
  • Autism spectrum disorders
  • Cancer
  • Cardiovascular Disease
  • Chronic Obstructive Pulmonary Disease
  • Depression
  • Diabetes
  • Hypertension
  • Infectious diseases such as HIV/AIDS

 

Why Chronic Care Management?
When patients with chronic conditions actively participate in their healthcare, their overall care coordination and outcomes improve, meaning fewer hospitalizations and trips to the emergency room. 

The Chronic Care Management program entitles Medicare patients* with two or more chronic conditions to receive additional care coordination benefits that will help improve their health.  In many cases, chronic conditions are readily treatable and proactive steps can change outcomes so that individuals experience more fulfilling lives.

Medicare Payment:

The program is designed to reimburse an average of $42 per month for each patient enrolled in a chronic care management program under a specific set of circumstances.

 

CPTs:

CPT 99490

Chronic care management services, at least 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month, with the following required elements:

                Multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient

 

CPT 99487

Complex chronic care management services, with the following required elements:

                Multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient

                Chronic conditions place the patient at significant risk of death, acute exacerbation/ decompensation, or functional decline

                Establishment or substantial revision of a comprehensive care plan

CPT 99489

Each additional 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (List separately in addition to code for primary procedure)

 

Zen Medical Services is a Medical Billing Agency in Bay Area. We provide Medical Billing and Management Services to the doctors in Bay Area and across the United States.

We help with Physician billing which includes – Eligilbity, Authorizations, Charge Entry, Payment Posting, Denial Management, Appeal, Patient Statements, Credentialing, Contracting and MACRA/MIPS Reporting.

For more on how to bill for CCM services, call us today 408 673 0936

Sincerely,

Binta Patel

Zen Medical Services

Your Medical Billing Specialist

http://www.zenservices.net

info@zenservices.net

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