billing

FQHCs Can Now Bill for Chronic Care Management (CCM) Services

FQHCs Can Now Bill for Chronic Care Management (CCM) Services

The chronically ill account for a huge percentage of the population. In fact, as of 2012, approximately one half of all adults had one or more chronic health conditions, and one in four adults had two or more chronic health conditions. Additionally, heart disease and cancer—both chronic diseases—together accounted for almost half of all deaths in 2010. Given these facts, is it any surprise that, in 2010, eighty-six percent of all health care spending was for people with one or more chronic medical conditions? (CDC website)

As of January 1st, 2016, Federally Qualified Health Centers (FQHCs) and Rural Health Centers (RHCs) are able to bill for Chronic Care Management (CCM) services provided to Medicare patients using CPT code 99490. CCM refers to the non-face-to-face coordination of care for chronically ill patients.

Claims Clearinghouse - Did You Know You Have a Choice?

Claims Clearinghouse - Did You Know You Have a Choice?

It seems like just yesterday, as the CEO of a multi-provider ophthalmology center and ambulatory surgery center, I was faced with the challenges of finding a new practice management system and implementing electronic medical records into our organization's processes. Though there were many decisions and choices to be made, the one decision I didn’t make was the claims clearinghouse we would use. At the time, no one told me I had a choice and because of that decision many hours of lost productivity and revenue cycle management issues were encountered.