Since its inception in 2014, CMS reimbursement for Chronic Care Management (CCM) has evolved into a critical component of value-based care. Over the past nine years, the program has expanded significantly with the introduction of new billing codes, the addition of Principal Care Management (PCM) for single complex conditions, and substantial reimbursement increases of approximately 50%. This evolution has transformed CCM from a simple care coordination tool into a highly profitable service line for proactive healthcare providers.

However, this financial opportunity has attracted a flood of vendors to the market, each promising streamlined software, clinical support, and billing services. This crowded landscape presents a significant risk: because all billing is performed under the provider's credentials, the practice retains full accountability for every action a vendor takes. A vendor's compliance misstep becomes your audit, your repayment penalty, and your reputational damage. Navigating this environment with vigilance is not just advisable—it's essential for financial and legal security.

A successful CCM program hinges on a deep understanding of CMS regulations, the implementation of ironclad best practices, and a strategic approach to execution. This foundational knowledge is what separates a compliant, efficient, and clinically effective program from one that is fraught with risk and operational inefficiency.

In this comprehensive webinar, our expert will guide you through the critical aspects of CCM and PCM, including:

• Decoding CMS Policy: A clear breakdown of the rules governing CCM and PCM services.

• Patient Eligibility & Consent: How to accurately identify qualifying patients and secure the required written consent.

• Billing Requirements & Compliance: Navigating the complex billing rules, including time documentation and code selection (e.g., 99490, 99491, PCM codes).

• Scope of Practice: Understanding who within your organization can and cannot perform and bill for these services.

• The Comprehensive Care Plan: Developing and maintaining the living document that is the cornerstone of all CCM activities.

• Defining Your Patient Population: Strategies for identifying and enrolling eligible patients into your program.

• The Build vs. Buy Analysis: A candid assessment of the pros and cons of building an in-house program versus outsourcing to a third-party vendor.

• Technology Integration: Evaluating the role of dedicated CCM software versus utilizing existing EMR capabilities.

• The Path to Success: A step-by-step framework for developing and executing a successful CCM implementation plan.

• Measuring Impact: How to create an evaluation plan to track the clinical and financial ROI of your program.

Learning Objectives

Upon completion of this webinar, participants will be able to:

• Articulate the core components and requirements of a compliant Chronic Care Management program.

• Outline the key metrics and processes for a robust program evaluation plan.

• Identify the critical steps and resources necessary to develop a successful CCM implementation plan.

Why Should You Attend?

If you are currently managing a CCM program, you likely have unresolved questions about optimizing workflows, ensuring audit-proof compliance, and maximizing reimbursement. This webinar provides the answers. If you have not yet launched a CCM program, you are unquestionably leaving significant revenue on the table while missing a proven opportunity to improve patient outcomes and satisfaction. This session will provide the roadmap to get started correctly and profitably.

Who Should Attend?

This webinar is designed for all healthcare stakeholders involved in patient care, practice management, and revenue cycle, including:

• Nurses and Nurse Practitioners

• Physicians and Doctors

• Population Health Officers

• Chief Nursing Officers (CNO) & Chief Medical Officers (CMO)

• Healthcare Innovation and Technology Officers

• Medical Billers and Coders

• Practice Administrators