Medical Economics April 2, 2020
When the Centers for Medicare and Medicaid Services (CMS) introduced chronic care management (CCM) services and the associated codes in 2015, the reaction was, to put it mildly, underwhelming. Although physicians were pleased that they were, at last, being paid for the overlooked extra care delivered to their patients with chronic conditions, only 684,000 Medicare beneficiaries received CCM services in the first two years of the program out of the eligible 32 million seniors with at least two chronic conditions.
One of the main reasons for the low participation levels was the lack of flexibility of the new codes. To bill for CCM, for example, two or more chronic conditions were required, providers were only permitted to bill either for...
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