Behavioral Health Integration: Why should PCP’s act now?

Behavioral health continues to top the list of issues that plague the health of so many elderly Americans, and the added complexity of a global pandemic further complicates this issue. But as the number of lives impacted by behavioral health continues to rise, the harsh reality is that most adults impacted by these types of… Continue reading Behavioral Health Integration: Why should PCP’s act now?

FQHCs need to intervene for their Medicare patients that are being left behind in the vaccine race

With limited doses available in the first phase of vaccination, the demand to provide this life-saving immunization to our elderly population far outweighs the current supply.  And whether health centers are self-administering the vaccine or referring patients offsite, one thing has become increasingly evident: our healthcare system is set up to favor vaccination for those… Continue reading FQHCs need to intervene for their Medicare patients that are being left behind in the vaccine race

What is chronic care management?

In recognition of the importance of chronic disease management and the impact that it has on health care expenses and outcomes, the Centers for Medicare & Medicaid Services (CMS) has started paying monthly reimbursements for chronic care management (CCM) services. Released on January 1st 2015, CPT code 99490 pays approximately $42 per month to providers… Continue reading What is chronic care management?

Care Planning for Chronic Care Management CPT Code 99490

The on-going list of chronic illnesses can seem endless and the risk of developing at least one condition is inevitable for many individuals. However, a personalized care plan can be a difference maker for patients in preventing or minimizing the effects of their chronic illnesses. Consequently, a requirement to bill for Medicare’s Chronic Care Management… Continue reading Care Planning for Chronic Care Management CPT Code 99490

18 questions most healthcare organizations have about chronic care management

1. Whose time counts towards the 20 minute requirement? Aside from physicians and non-physician practitioners, such as Nurse Practitioners, Physicians Assistants, Certified Nurse Midwives, Clinical Nurse Specialists, services provided by clinical staff incident to the physician or billing practitioner count towards the 20 minute requirement as well. While there is some variation on a state… Continue reading 18 questions most healthcare organizations have about chronic care management