Maximizing Care and Reimbursement With Chronic Care Management (CCM) Codes

The American College of Physicians (ACP) defines Chronic Care Management as the non-face-to-face services provided to Medicare beneficiaries who have multiple (two or more), significant chronic conditions.

CCM is person-centered and contributes to better health outcomes and higher patient satisfaction. This care model requires more centralized management of patient needs and extensive care coordination among practitioners and providers.

The key components of CCM services include: 

• Office visits and other face-to-face encounters (billed separately);
• Communication with the patient and other treating health professionals for care coordination (both electronically and by phone);
• Medication management and reconciliation;
• Being accessible 24 hours a day to patients as well as other physicians or other clinical staff;
• Creation and revision of electronic care plans by the designated CCM clinician.
  
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