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Care Management - The Sweet Spot for Patients and Practices


About this program


The provision of care management services can be a true win-win situation that benefits the medical practice in addition to helping patients stay on track with their care plan and reducing the overall costs of healthcare. Government and private payers alike recognize Care Management as a critical component of primary care that contributes to better health and care for individuals. Medicare began paying separately under the Medicare Physician Fee Schedule (PFS) for Chronic Care Management (CCM) services furnished to patients with multiple chronic conditions in 2015 and have since expanded care management services.

Attend this session to learn how to implement care management services and engage your patients in the management of chronic disease(s). Jan Hailey will provide a definitive explanation of these services and teach you how to bill them correctly. Improve your understanding of the requirements and guidelines for billing care management services so your providers receive proper reimbursement for the services rendered. Know definitively who can furnish these services, and when supervision must be provided.

Gain insight on how to successfully engage your patients in care management and provide them the support they need between provider visits to become active partners in their own healthcare. The instructor will provide tips for developing documentation guidelines and coding policies for your practice and point you to resources to educate providers about care management services.

Highlights:

  • Provider and patient eligibility requirements
  • When patient consent is required
  • Face-to-face vs non-face-to-face visits
  • How to avoid common billing snafus