Finalized 2025 Medicare Physician Fee Schedule advances CCM and value-based care with new advanced primary care management codes

Medical Economics November 15, 2024
Lucienne Marie Ide, MD, PhD

Change is coming in 2025, but physicians can maximize reimbursement for remote physiological monitoring and chronic care management.

Remote physiological monitoring (RPM) and chronic care management (CCM) are well-established programs with years of operational and billing experience in many practices. These billable activities have allowed health care providers to offer more comprehensive care to Medicare beneficiaries outside of their traditional in-person doctor’s visits. Because the U.S. Centers for Medicare & Medicaid Services (CMS) views these as complementary activities, providers are also able to leverage the right program for each patient, which often means enrolling some patients in both RPM and CCM services and billing for these services concurrently.

CMS’ recently issued rule finalized changes to the 2025 Physician Fee Schedule...

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