Guidelines on Billing and Claims for Effective Chronic Care Management

Guidelines on Billing and Claims for Effective Chronic Care Management

These guidelines would help the clinicians to

- Identify what CCM codes & modifiers are available for use by your healthcare setting 

- List possible billing errors and how to avoid denials on CCM claims 

- Determine an effective/efficient process for communication between care team & billing 

- Develop process to identify who will cover CCM services other than Medicare 

- Outline what options are available when a patient cannot/refuses to pay co‐pays 

- Identify other audiences to share and this information and collaborate with in this area 

- List actions items to take in response to this training


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