Improving Ohio's Health: New Chronic Care Management Coding


New Chronic Care Management Coding: Proposed CMS Coding Changes for 2017

by Cathy Costello, JD, CPHIMS, Director of CliniSyncPLUS Services

Let me guess: your practice looked at starting a Chronic Care Management (CCM) program. You thought it sounded like it might help with your diabetic patients and those with heart disease and COPD. You even went so far as to review all the technical requirements for starting one. But after you dug in, everyone in the office just rolled their eyes and said “Good idea; hard to execute.” Does that sum up your practice’s approach to CCM?
Well, look again. CMS heard about you and everyone else who hesitated to jump in to set up this brand new program and went back to the drawing board to develop a more user-friendly program.

We all know CMS is a big proponent of patient-centered care models. The cost of health care in the United States has climbed to $1 trillion. In 2014, almost 30 percent of that cost was attributed to hospital care.1 Approximately 15 percent of all hospital patients ended up being readmitted during 2014 according to CMS; so any program that can find new and creative ways to keep these hospital admission and readmission rates down receives a lot of attention by CMS. That is why CMS is putting so many eggs in the basket of Chronic Care Management. They can see the benefits and have heard from both practices and patients how great the program can be. But they need to keep tweaking the model to make it easier for practices to understand the requirements and implement it, and make it financially worth the practice’s efforts to establish such a program. Thus, CMS issued proposed changes to CCM for 2017 in the Physician Fee Schedule regulation.

Here is the full article.

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