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Affordable Care Act Repeal and Chronic Care: What’s at Stake

As Congress gets set to pause, repeal or replace the Affordable Care Act (ACA, also known as Obamacare), people with chronic conditions may be concerned about specific Medicare benefits that might be eliminated or significantly altered. Among these are prescription drug benefits, Medicaid, and limits on Premiums. Prescription Benefits The ACA expanded prescription drug benefits…

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Can Practices Meet the Requirements of Chronic Care Management

Its no secret that care for patients with chronic health conditions are the most costly segment of patients on Medicare, with some 93 percent of Medicare spending going to people with more than one chronic conditions. Enter Chronic Care Management (CCM), Medicare’s attempt to reduce these costs by allowing healthcare providers to offer 20-minute “non-face-to-face”…

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Billing Guidelines for Chronic Care Management Providers

Medicare’s Chronic Care Management (CCM) program reimburses doctors for at least 20 minutes of “non-face-to-face” care–in other words, communication via telephone, computer, or mobile device. The goal is to reduce the cost of care for people with multiple chronic conditions with more frequent and more convenient check-ins to monitor the patient’s condition and catch small…

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Chronic Care Management Service Providers Ease Service Delivery

Since the beginning of 2015, the Centers for Medicare and Medicaid Services (CMS) has reimbursed physicians for the new CPT code 99490, which covers non-face-to-face consults of at least 20 minutes for patients with multiple (two or more) chronic conditions. There is no official “list” of chronic conditions but generally chronic conditions include Alzheimer’s disease,…