Chronic care management

Has anyone had success billing chronic care management (CCM) code 99490 since it launched in 2015?

Just released, Medicare claims data show that providers are seeing low denial rates on 99490 claims

Comments

  • Hi Richard-

    Yes, we have had success with CCM. It took a bit to work out the logistics, but we are billing it and getting reimbursed. We are currently only billing it out of one department, but as a large facility, we hope to mimic it across a few more specialties.

    Donna


    Donna M. Beaulieu, CRC, C-CDIS, CPC-I, CPMA, CPC, CEMC, CIMC, CEDC, CFPC, CCP-P, CRP
    Certified Green Belt Lean Six Sigma
    Assistant Director, Patient Financial Services

    [Emory Healthcare]



  • edited May 2017
    Yes, we are successfully billing for CCM. The group hired a nurse for each office to coordinate all the TCM and CCM services. It’s working out beautifully.

  • edited May 2017
    We have been billing for it. We put a CCM team in place and created a special schedule for CCM. We have had some insurance companies that require authorizations for the service. The patients have been very happy with it. We did find a secondary insurance plan that doesn't cover it and the patients have decided to disenroll because they don't want to pay for it.
    Other than that it has been very successful.

    Cathy Satkus, CPC
    Harvard Family Physicians
    918-743-8200

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