Updated PYA White Paper Meets Demand for Guidance on Providing and Billing Medicare for Chronic Care Management

Share Article

National healthcare consulting firm PYA has updated its industry-leading white paper on providing and billing Medicare for chronic care management to include the latest guidance and more step-by-step instructions. The paper details potential revenue, eligible providers, eligible beneficiaries, required practice capabilities, qualified personnel, documentation and billing rules and practical strategies for providers looking to furnish CCM.

PYA Updated CCM White Paper

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

A well-designed and well-run CCM program can generate significant revenue, especially once commercial payers follow CMS’ lead and pay for CCM services.

Since Medicare began paying for chronic care management (CCM) on January 1, 2015, there has been an overwhelming demand from providers for straightforward guidance on how to implement an efficient and compliant CCM program. The Centers for Medicare & Medicaid Services (CMS) recently provided clarification on several matters.

PYA’s updated white paper—“Providing and Billing Medicare for Chronic Care Management”—incorporates this new guidance into a detailed, yet practical “how to” manual for providers looking to furnish CCM. Thousands of providers have relied on the original white paper to understand 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, helping providers furnish CCM in a compliant manner.”

In addition to the white paper, PYA soon will be releasing its Chronic Care Management Guidebook, a step-by-step “owner’s manual” for developing and managing a CCM program.

PYA also has updated its CCM infographic, Step-by-Step Chronic Care Management, and has released a recent article, “Coding and Documentation of Transitional and Chronic Care Management Services,” both of which may be found 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 participating 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.”

---

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 one of the nation’s largest privately held healthcare management consulting firms. For more information, visit http://www.pyapc.com/.

Share article on social media or email:

View article via:

Pdf Print

Contact Author

Ed Pershing

Ed Pershing
PYA
865-673-0844
Email >
Visit website