Chronic Care Management

It’s the most wonderful time of the year! CMS Guidance for 2018

It’s the most wonderful time of the year! CMS Guidance for 2018

The Holidays are coming - good food, conversation, gifts, developing New Year’s budgets and strategies.  Wait – budgets and strategies?

Yes, you read right! Health centers can maximize their budgets (and thus their Mission) by reviewing Federal policy updates and reimbursement changes to FQHC’s.

FQHCs Can Now Bill for Chronic Care Management (CCM) Services

FQHCs Can Now Bill for Chronic Care Management (CCM) Services

The chronically ill account for a huge percentage of the population. In fact, as of 2012, approximately one half of all adults had one or more chronic health conditions, and one in four adults had two or more chronic health conditions. Additionally, heart disease and cancer—both chronic diseases—together accounted for almost half of all deaths in 2010. Given these facts, is it any surprise that, in 2010, eighty-six percent of all health care spending was for people with one or more chronic medical conditions? (CDC website)

As of January 1st, 2016, Federally Qualified Health Centers (FQHCs) and Rural Health Centers (RHCs) are able to bill for Chronic Care Management (CCM) services provided to Medicare patients using CPT code 99490. CCM refers to the non-face-to-face coordination of care for chronically ill patients.