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Since Medicare introduced care management programs in 2015, coverage has evolved to provide expanded opportunities for Rural Health Clinics and Federally Qualified Health Centers. Historically, however, new care management programs have been launched without initially including RHCs and FQHCs or with significant restrictions.
Care Coordination | Annual Wellness Visit | Advance Care Planning | CPT codes
With an Annual Wellness Visit (AWV), your patient receives an appropriate opportunity to review Advance Care Planning (ACP). You can use this yearly assessment as a time to cover why advanced planning can be of great benefit. In this video, we discuss everything you need to know about the 2024 CPT codes, billing requirements, and reimbursements for Advance Care Planning (ACP), so you can properly bill for this program and maximize your revenue. This includes code 99497 and add-on code 99498.
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CPT codes | Behavioral Health Integration
Behavioral Health Integration (BHI) is a monthly program that helps Medicare beneficiaries address mental health concerns. Covered by Medicare Part B, providers should learn what CPT billing codes are used for BHI in order to optimize care delivery and avoid denied claims.
Transitional Care Management | CPT codes
Transitional Care Management (TCM) helps patients in the first 30 days following a hospital discharge. Covered by Medicare Part B, providers should learn what CPT billing codes are used for TCM in order to optimize care delivery and avoid denied claims.
Principal Care Management | CPT codes
Principal Care Management (PCM) is a preventive program that helps patients mitigate one, specific chronic condition. Covered by Medicare Part B, providers should learn what CPT billing codes are used for PCM in order to optimize care delivery and avoid denied claims.
Remote Patient Monitoring (RPM) | CPT codes
With Remote Patient Monitoring (RPM), providers can use physiological data to enhance chronic disease management. Covered by Medicare Part B, providers should learn what CPT billing codes are used for RPM in order to optimize care delivery and avoid denied claims.