Care Coordination Coding and Reporting - 2022 Medicare Updates

Care Coordination and Care Management services allow healthcare providers to monitor and manage their patients in real-time leveraging technology and communication tools at a distance. The overall goal for these services is to reduce hospitalization and readmission rates.  Reimbursement and reporting rules for these services are enormously complex. Since many of the care coordination and care management services are time-based, the tracking service time is critical for compliant revenue cycle operations. Today’s webinar will drill down into the care coordination services coding and reporting updates extensively, highlight the key differences between the various care coordination services available to providers, and provide you with tangible information that can be put into action immediately.

• Understand the 2022 Medicare Chronic Care Management (CC) coding rules
• Recognize the 2022 Medicare Principal Care Management (PCM) coding rules
• Recall the 2022 Medicare Remote Patient Monitoring (RPM) coding rules
• Understand the 2022 Medicare Remote Therapeutic Monitoring (RTM) coding rules
• Identify pertinent clinical documentation requirements for care management services

• Review the 2022 Medicare Chronic Care Management (CC) coding updates
• Discuss CCM clinical documentation service requirements
• Review the 2022 Medicare Principal Care Management (PCM) coding updates
• Discuss PCM clinical documentation service requirements
• Outline the key differences between CCM and PCM services
• Review the 2022 Medicare Remote Patient Monitoring (RPM) coding updates
• Discuss RPM clinical documentation service requirements
• Review the 2022 Medicare Remote Therapeutic Monitoring (RTM) coding updates
• Discuss RTM clinical documentation service requirements
• Outline the key differences between RPM and RTM services
• Discuss pertinent care coordination service modifiers

CMS plans to reduce the percentage of beneficiaries that forgo care due to healthcare costs by 2030 by developing value-based care models that decrease duplicative or wasteful care and drive site of care differences.

By 2030, Medicare expects all Part A and B beneficiaries to receive care under a value-based payment methodology that incentivizes quality of care and cost savings. As healthcare reimbursement and alternative payment models continue to shift towards value-based care models, care coordination services are becoming increasingly more important for healthcare organizations to implement and master. 

Professional Fee Coders, Auditors, Billers, Educators, Consultants, Revenue Cycle Management Professionals, Coding Management and Operational Leadership, Medical Providers of all specialties, Physician Advisors, Compliance Officers/Committees