Providing and Billing Medicare for Chronic Care Management: 2015 Medicare Physician Fee Schedule Final Rule

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The latest white paper from PYA provides a step-by-step guide for providing and billing Medicare for chronic care management, or CCM. The paper explains potential revenue, eligible providers, eligible beneficiaries, core requirements, documentation standards, and next steps for providers interested in furnishing CCM.

Pershing Yoakley & Associates White Paper reviews 2015 Medicare Physician Fee Schedule Final Rule

PYA White Paper: Providing and Billing Medicare for Chronic Care Management

The white paper’s easy-to-follow Q&A format takes the mystery out of complicated CMS billing rules and offers step-by-step instructions to provide CCM in a compliant manner.

With the publication of the 2015 Medicare Physician Fee Schedule Final Rule on November 12, the Centers for Medicare & Medicaid Services (CMS) has finalized the requirements for providing and billing Medicare for chronic care management, or CCM, beginning January 1, 2015.

CMS’ decision to make a per-beneficiary-per-month payment of more than $40 for non-face-to-face care management services is a game-changer. Providers should now be developing their plans to provide CCM for eligible beneficiaries.

PYA’s latest white paper—Providing and Billing Medicare for Chronic Care Management—is a detailed, yet practical “how to” manual for providers looking to furnish CCM. As PYA Principal Martie Ross explains, “The white paper’s easy-to-follow Q&A format takes the mystery out of complicated CMS billing rules and offers step-by-step instructions to provide CCM in a compliant manner.”

In addition to the white paper, PYA will be presenting a complimentary 45-minute webinar on providing and billing Medicare for CCM. The webinar is scheduled for Wednesday, November 19, at noon EST. Registration is available on the PYA website.

According to Ross, “A well-designed and well-run CCM program can generate significant revenue, especially once commercial payers follow CMS’ lead and pay for CCM services. Additionally, for providers’ participation in shared savings arrangements, a CCM program is a structured strategy to reduce the total cost of care for specific patient populations by preventing high-cost acute episodes.”
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About PYA -

For over three decades, Pershing Yoakley & Associates (PYA) has provided timely insight and strategic support, helping clients thrive in the midst of rapid change. PYA is ranked by Modern Healthcare as the nation’s twelfth largest privately held healthcare management consulting firm. For more information, visit http://www.pyapc.com/.

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Ed Pershing

Ed Pershing
PYA
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