Overview:

Since its introduction by the Centers for Medicare & Medicaid Services (CMS) in 2014, Chronic Care Management (CCM) has evolved significantly, with numerous updates including new billing codes, the introduction of Principal Care Management (PCM), and substantial fee increases of approximately 50%. Over the past nine years, CCM has emerged as a highly profitable service line for many healthcare practices.

This growing financial opportunity has attracted numerous vendors offering software platforms, clinical support teams, and billing services. However, providers must exercise extreme caution when selecting a CCM partner, as all billing is submitted under the provider's credentials, making the practice ultimately responsible for all compliance aspects of the vendor's operations.

Establishing a successful Chronic Care Management program requires a solid foundation in regulatory compliance, implementation of best practices, and proper program initiation to ensure effectiveness, compliance, and operational efficiency.

Why Should You Attend:

If your practice currently offers CCM services, you likely have operational questions that need expert clarification. If you're not yet providing CCM, your practice is missing significant revenue opportunities. This webinar will address critical aspects of CCM implementation and management, providing actionable insights for both scenarios.

Learning Objectives:

• Viewer will be able to verbalize key components of CCM

• The viewer will be able to summarize the evaluation plan

• Viewer will be able to identify what is needed for the Implementation Plan

Areas Covered in the Session:

This webinar will explain CCM and PCM fundamentals and best practices including:

• Understanding the CMS Policy on CCM and PCM

• Patient qualification criteria

• Billing requirements and compliance

• Eligible and ineligible billing providers

• Patient consent processes

• Developing comprehensive care plans

• Creating effective evaluation plans

• Identifying appropriate patient populations

• In-house vs outsourcing pros and cons

• Software solutions vs EMR integration

• Implementation planning and execution

Who Should Attend:

• Nurses

• Doctors

• Nurse Practitioners

• Population Health Officers

• Innovation Officers

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

• Medical Billers and Revenue Cycle Staff

• Practice Administrators

• Healthcare Compliance Officers