This program will explore the eight major components of the CCM guidelines, regulations and codes, and will discuss each of these in the context of establishing a program in each practice or facility.
The CMS recognizes care management as one of the critical components of primary care that contributes to better health and care for individuals, as well a reduced spending. Beginning January 1, 2015, Medicare pays separately under the Medicare Physician Fee Schedule (PFS) under American Medical Association Current Procedural Terminology (CPT) code, for non-face-to-face care coordination services furnished to Medicare beneficiaries with multiple chronic conditions. Additionally beginning January 1, 2016, RHCs & FQHCs may receive payment for CCM services furnished to Medicare beneficiaries having multiple (2 or more) chronic conditions that are expected to last at 12 months or until the death of the patient, and place the patient at significant risk of death, acute exacerbation/decompensation or functional decline.