Online Training Course

Prod ID: 381
Care Management - The Sweet Spot

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.




66 min



Care Management is the sweet spot for patients and practices. 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. 


Jan Hailey


Jan Hailey is PMI's Director of Workforce Initiatives. She has more than 20 years of experience in healthcare administration, coding, and billing, and a passion for teaching educational programs nationwide.

Jan is the former Director of Care Management with Select Health Network, an entity of Saint Joseph Physician Network in Mishawaka, IN.  She led a comprehensive interdisciplinary team across the health system and worked closely with providers, management, staff, community, and payers to develop strategies for process improvement, gap closures, and patient experience.  To improve risk scores for the health system, Jan developed a documentation improvement and education program for the Hierarchical Condition Category (HCC). Prior to joining Saint Joseph, she served as Director of Quality, Coding, and Compliance for one of the largest health systems in Northern Indiana.

She earned a Master's in Healthcare Leadership and holds four professional certifications in medical office management, coding, billing, and compliance, and is an active member of WPS Medicare’s Provider Outreach and Advisory Group, Indiana Association for Healthcare Quality. 

Receive tips for developing documentation guidelines and coding policies for your practice and point you to resources to educate providers about care management services.

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. 


  • 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

Self-paced online program includes unlimited review of previously recorded instruction and the downloadable PowerPoint handout for 6 months.

Comments from past participants:

“The coding information was very useful.”

“Excellent knowledge and content!”

“Always informative, content is relevant and improves my understanding.

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