Healthcare Intelligence Network
Accountable Care Organizations
Best Sellers
Behavioral Healthcare
Benchmarking
Bundled Payment
Care Coordination
Care Transitions
Case Management
Chronic Care Management
Coaching
Coming Soon
Community Health
Compliance
Consumer-Driven
Cultural Diversity
Data Analytics
Diabetes Management
Disease Management
Dual Eligibles
e-Books
eHealthcare
Emergency Medicine
Health Literacy
Health Risk Assessments
Health Risk Stratification
Healthcare Reform
Healthcare Trends
HIN Benchmark Reports
HIN Case Studies
HIPAA
Home Health
Home Visits
Hospice
Hospital
Hospital Readmissions
Hospitalist
ICD-10
Infection Control
Infographics
Information Technology
Long-Term Care
MACRA
Managed Care
Medicaid
Medical Home
Medical Neighborhood
Medical Practice
Medical Records
Medicare
Medication Adherence
Nurse Management
Palliative Care
Patient Engagement
Patient Experience
Patient Registry
Pay for Performance
Physician Practice Transformation
Physician Organizations
Physician Quality Reporting Initiative
Population Health Management
Post-Acute Care
Predictive Modeling
Pre-Publication
Quality Improvement
Reimbursement
Remote Patient Monitoring
Revenue Cycle Management
Safety
Social Health Determinants
Telehealth
Training DVDs
Transparency
Value-Based Reimbursement
Webinars
Wellness
What's New
Subscribe to the Free
'Healthcare Business Weekly Update' e-Newsletter and receive the latest trends, news and analysis in healthcare.
Email:

Click here to view this week's issue
Home > e-Books
Physician Reimbursement for Chronic Care Management: Identifying New Practice Revenue Opportunities
Physician Reimbursement for Chronic Care Management: Identifying New Practice Revenue Opportunities
Be the first to review this item
Price
Your Price:
$95.00
Choose Format and Quantity
Format Recommended: Print and PDF
Print
Instant PDF Download
HIN Case Study Series Member
Enterprise PDF Site License
Save on Multi-User PDFs*
Quantity Price Per Copy
2-5 $61.75
6-10 $52.25
11-25 $23.75
Contact us for multiple print pricing or to order 25+ copies.
Quantity
Add to Wish List
Description
Like the convenience of an instant PDF download but still want a hard copy of this book? Order both and save 35 percent!

Medicare now reimburses physician practices for select Chronic Care Management (CCM) services not previously eligible for reimbursement, underscoring the vital role of care management in primary care.

Physician Reimbursement for Chronic Care Management: Identifying New Practice Revenue Opportunities offers practical guidance to prepare physician practices to maximize CCM reimbursement in the year ahead.

This 25-page resource draws from the 2015 Medicare Physician Fee Schedule to identify new sources of payment for physician practices while improving care coordination for beneficiaries with chronic illness.

Subject matter expert Rick Hindmand, attorney with McDonald Hopkins, a law firm advising clients nationally on healthcare reimbursement, provides a roadmap to obtaining payment for Medicare Chronic Care Management (CCM), covering such key issues as beneficiary eligibility, scope of chronic care services, system requirements, documentation, compliance issues, and more.

While geared to providers coordinating care for Medicare beneficiaries, the CCM framework suggests a practical approach to care coordination for Medicaid beneficiaries, the dually eligible and the privately insured, based on the likelihood that commercial payors will offer similar rewards for care coordination of chronic illness.

In Physician Reimbursement for Chronic Care Management: Identifying New Practice Revenue Opportunities, Hindmand reviews the following CCM payment guidelines:

  • Medicare beneficiary eligibility;
  • Six elements under scope of chronic care management services;
  • Care plan provisions;
  • Supervision requirements for clinical staff providing CCM services;
  • Electronic health record (EHR) requirements for CCM reimbursement;
  • Billing requirements;
  • Beneficiary disclosure and consent;
  • Documentation guidelines;
  • Compliance issues;
and much more, including responses to a host of FAQs so that physician practices are prepared to benefit from these new Medicare reimbursement opportunities.

Table of Contents

  • Chronic Care Management Medicare Reimbursement: New Revenue Opportunities for Care Coordination
    • Overview of Chronic Care Management Program
    • Justification for CCM
    • Beneficiary Eligibility
    • 6 Elements of CCM Services
    • Supervision of CCM Staff
    • Electronic Health Record Requirements
    • Beneficiary Consent and Limitations
    • Billing Requirements
    • Documentation of CCM Services
    • Compliance Concerns
  • Q&A: Ask the Experts
    • Chronic Care Management Lessons for Private Payors
    • Patient Visit Requirements
    • Designated Chronic Care Management Provider
    • Addressing Issues on the Problem List
    • Billing Criteria
    • Patient Eligibility for CCM Services
    • Mental Health and Chronic Condition Definitions
    • CCM Eligibility for ACOs and MSSP
    • Dual Eligibles Participation
    • Care Plan Distribution Requirements
    • Defining Clinical Staff Members
    • Provider Management of Chronic Conditions
    • FQHC Reimbursement
    • Licensure for Clinical Staff
    • Fee-for-Service Versus Medicare Advantage Beneficiaries
    • Third-Party Services
    • Appropriateness of Advance Beneficiary Notice
    • Considerations for Non-Licensed Staff
    • Medicare Transitional Care Management
    • Impact on Provider-Patient Communications
  • Glossary
  • For More Information
  • About the Contributor
Publication Date: January 2015
Number of Pages: 25
ISBN 10: 1-941329-56-X (Print version); 1-941329-57-8 (PDF version)
ISBN 13: 978-1-941329-56-6 (Print version); 978-1-941329-57-3 (PDF version)
Frequently Bought Together
Stratifying High-Risk, High-Cost Patients: Benchmarks, Predictive Algorithms and Data Analytics
Stratifying High-Risk, High-Cost Patients: Benchmarks, Predictive Algorithms and Data Analytics
Your Price: $99.00
Buy
2015 Healthcare Benchmarks: Chronic Care Management
2015 Healthcare Benchmarks: Chronic Care Management
Your Price: $117.00
Buy
Physician Reimbursement in 2016: Workflow Optimization for Chronic Care Management and Advance Care Planning, a 45 minute-webinar on January 26, 2016, now available for replay
Physician Reimbursement in 2016: Workflow Optimization for Chronic Care Management and Advance Care Planning, a 45 minute-webinar on January 26, 2016, now available for replay
Your Price: $99.00
Buy
Browse Similar Items
Quality Improvement
Physician Organizations
Managed Care
HIN Case Studies
Medical Practice
Reimbursement
Healthcare Trends
Healthcare Reform
Pay for Performance
Physician Practice Transformation
Population Health Management
Medicare
Best Sellers
Chronic Care Management

Assessing Social Determinants of Health: Screening Tools, Triage and Workflows to Link High-Risk Patients to Community Services
Healthcare Trends & Forecasts in 2018: Performance Expectations for the Healthcare Industry
2017 Healthcare Benchmarks: Patient Engagement
2017 Healthcare Benchmarks: Chronic Care Management
Telephonic and Community-Based Care Coordination Model: An Early Engagement Approach for Medicaid Managed Care

Copyright Healthcare Intelligence Network. All Rights Reserved. eCommerce Software by 3dcart.