February 15, 2017 — Insights

Getting Paid for Chronic Care Management

With declining Medicare reimbursements affecting medical practices around the country, there is finally reason to be optimistic! The Centers for Medicare & Medicaid Services (CMS) are now paying for chronic care management: non-face-to-face time spent managing patients with chronic illnesses.

The key to increasing your reimbursements is code 99490, and we’re telling you how to use it! In this webinar, reimbursement expert Elizabeth Woodcock shares the ins and outs of this code, and how to use it effectively to increase collections in your organization.

What you’ll hear:

  • A brief overview of the Medicare Physician Fee Schedule Final Rule
  • A detailed description of the 99490 CBT code and answers to common questions, such as:
    • Who can bill for it and how should providers submit reimbursement requests?
    • What are the specific requirements for submission?
    • What is the timeframe for billing?
  • Strategies your organization can use to prepare for billing under the code
  • An explanation of two important rules from CMS rules, including the requirement that practices must use a certified Electronic Health Record (EHR) system in place in order to receive reimbursement for chronic care management
  • Tips for how your organization can adopt a workflow that allows you to bill for chronic care management under the code

Insight from Elizabeth:

“It’s important to sit down and take the time now to prepare yourselves and define all of the chronic illness that you believe count as chronic care that your organization manages. Define that list for your practice and have that ready to go so that as you start building the workflow to capture the time involved with taking care and managing the care of these patients you have that list ready to go.”

“The spirit of this code is for the physician or advanced practice provider who truly manages the patient’s care plan. This plan of care relates not just to the patient’s medical care but also to the comprehensive perspective, including the physical, mental, cognitive social, functional and environmental.”

Watch the webinar!

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