Chronic Care Mgmt.: Improve Coding Accuracy, Get Paid More

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You can get paid even more for your sickest patients – basically reimbursing you closer to what you deserve for the added care you provide for them. But there is a catch…

…you must know how to correctly apply Chronic Care Management (CCM) codes (including their new code for 2019). On your own, this is no small feat. The reporting requirements are still numerous. But, with a little guidance, you can master the rules quickly and easily.

You can finally get paid more for the additional time you spend and services you provide to your chronically ill patients by attending this 90-minute online training session presented by national coding expert and educator Kim Garner Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO.

Here are just some of the tactics you’ll receive during this online training session:

  • Identify CCM eligible patients more easily and earn your $42.17 per month per patient
  • Calculate “hidden” times you can include toward the 20-minute requirement
  • Boost care planning pay up for patients with cognitive impairment
  • Identify all care providers that qualify to bill CCM – it might surprise you
  • Determine whether the CCM telehealth services code will work for you
  • Sidestep sabotaging CCM reimbursement with the four services you cannot bill at the same time
  • Learn how rural health clinics and FQHCs qualify to bill for CCM services
  • Avoid confusion between CCM and transitional care management with simple to use tools
  • Develop a successful patient-centered care plan document that will withstand an audit every time
  • Bullet-proof your CCM documentation to avoid denials and potential audits
  • And so much more…

Regardless of your specialty, if you see chronically ill patients, you deserve to receive additional reimbursement for the added time you spend

IMPORTANT: Considering that half of all Americans in the U.S. (117 million people) suffer from at least one chronic disease, it’s likely you have quite a few patients that qualify under CCM guidelines. That means you can pick up an additional $43 to $141 (depending on the complexity of each patient’s needs) per month per patient. This added revenue is compensating you for work you are going to provide anyway, so you have nothing to lose.

Here are just some of the CCM coding questions you’ll get answered during this must-attend online training:

  • Can all CCM codes be billed together within a month, same patient, same provider?
  • Who qualifies as “clinical staff” when calculating CCM time spent?
  • Is there a list of qualifying conditions? Does any chronic illness count?
  • Can specialists bill CCM, or only primary care practitioners?
  • When should the CCM claim be submitted?
  • Is a new patient consent required each calendar month or annually?
  • Can I bill for CCM if the beneficiary dies during the service period?
  • Can I bill for CCM services furnished to beneficiaries in SNFs, LTCs, ALFs, etc.?
  • What place of service (POS) should be reported on the physician claim?
  • If CCM services are provided “incident to,” does the billing practitioner need to ever see the patient?
  • Do all face-to-face activities count as billable time?
  • How do I allocate the total time spent between CCM and an E/M Visit on the same day?
  • Are there any services that cannot be billed under the same calendar month as CCM?
  • If a beneficiary declines to receive CCM services or does not provide consent, or if other conditions of payment for CCM are not met, can the practitioner bill the beneficiary?
  • For CPT codes 99490 and 99491, if I provide more than the minimum service time, can I bill more than one unit (or more than one line item) in the service period?
  • And so much more…

Don’t wait any longer. If you care for chronically ill patients and are not effectively utilizing CCM codes, you’re leaving tens of thousands of reimbursement dollars on the table just waiting to be collected. In only 90 minutes, you can get everything you need to ensure you receive the additional reimbursement you’re rightfully entitled to for spending the extra time it takes to care for your sickest patients. Sign up today.

 

Meet Your Expert

Kim Huey
MJ, CHC, CPC, CCS-P, PCS, CPCOKGG Coding and Reimbursement Consulting, LLC

Kim is an independent coding and reimbursement consultant, providing audit, training and oversight of coding and reimbursement functions for physicians. Kim completed three years of pre-medical education at the University of Alabama before she decided that she preferred the business side of medicine.

She completed a Bachelor’s degree in Health Care Management and went on to obtain certification through the American Academy of Professional Coders and the American Health Information Management Association.

Recognizing the important position of compliance in today’s world, she has also obtained certification as a Certified Healthcare Compliance Consultant and a Certified Healthcare Audit Professional. Kim is also an AHIMA-approved ICD-10-CM trainer and has recently earned a Master of Jurisprudence in Health Law.

For over twenty-five years, Kim has worked with providers in virtually all specialties, from General Surgery to Obstetrics/Gynecology to Oncology to Internal Medicine and beyond. She has spoken at the national conference for numerous organizations.

Reviews

Excellent!
Cheryl Dorsey
Compliance Medical Coding, Practice Management Manager, Codman Square Health Center
Very good, and Informative.
Isabel Suire
Office/Coding Manager, Nath Holdings/Lousiana Physician Corpooration
Great Webinar, with excellent Information!
Ami Desai
Director, OP Administration, Hospital for Special Care