As of January 1st, 2024, Transitional Care Management (TCM) still falls under CPT 99496. TCM is a critical component of […]
All posts tagged: Chronic Care Management Care Plan
CPT 99495 – Transitional Care Management
As of January 1st, 2013, Medicare began to reimburse for CPT 99495 to improve transitions of care for patients. Specifically […]
CCM Qualifying Chronic Conditions
Patients need to have two or more “chronic” conditions to qualify for Chronic Care Management. A chronic condition can be […]
CPT 99489 – Complex Chronic Care Management
Complex Chronic Care Management patients often require several hours of care coordination per month. Accordingly, as of 2017, Medicare is […]
CPT 99487 – Complex Chronic Care Management
As of 2017, CPT 99487 is reimbursed by Medicare to account for extended care coordination time spent with especially complex patients. […]
CCM Transitions of Care
Chronic Care Management patients are unfortunately often high utilizers of the emergency room and frequently hospitalized. Accordingly, a critical component […]
CCM Community-Based Service Coordination
Patients with multiple chronic conditions often have needs that extend beyond the four walls of the clinic. Accordingly, Chronic Care […]
CCM Continuity of Care
CPT 99490 has many scope of services requirements (e.g., consent forms, face-to-face enrollment, electronic care plan, clinic staff), however some […]
Care Management Services Under CCM
CPT 99490 reimburses for 20 minutes of non-face-to-face time delivered by clinical staff. The majority of this time is usually […]
