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Chronic Care Management | CPT codes
What is Chronic Care Management? Chronic Care Management (CCM) is a preventive health program that helps patients mitigate their chronic conditions. As covered by Medicare Part B, providers should understand what CPT billing codes matter to the program and how they are used. This can help your organization avoid denied claims and enhance care.
Remote Patient Monitoring (RPM) | CPT codes
What is Remote Patient Monitoring? 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.
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UPDATE (1/8/2025): In its 2025 Final Rule, CMS changed the rules pertaining to HCPCS code G0511. Read here for the latest information. 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. Download an Advance Care Planning guide to help you manage your program.
CPT codes | Behavioral Health Integration
Understanding the CPT billing codes for Behavioral Health Integration (BHI) will provide you with a better idea of what is expected, both by the patient and by Medicare.
Chronic Care Management | CPT codes
Chronic Care Management (CCM) can be an effective way to embrace value-based care, so it’s important to understand the program's rules and regulations, as well as the different series of CCM codes your practice can bill for.