Webinar Description

General and various chronic are management services have expanded rapidly in recent years, creating new opportunities for providers and healthcare organizations to deliver coordinated care to patients outside of traditional office visits. For Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), these services can play a critical role in improving patient outcomes while appropriately capturing the clinical work performed between visits. However, documentation expectations, coding rules, and payer policies can vary widely, making compliance challenging for clinical providers, coders, and revenue cycle teams.

• This session will provide a practical overview of General and Chronic Care Management services, including Chronic Care Management (CCM), Principal Care Management (PCM), Behavioral Health Integration (BHI), Psychiatric Collaborative Care Model (Psych CoCM), and newer services such as Community Health Integration (CHI) and Principal Illness Navigation (PIN).
• Participants will also review important updates related to Remote Physiologic Monitoring (RPM), Remote Therapeutic Monitoring (RTM), Advanced Primary Care Management (APCM), and Transitional Care Management (TCM).

This course is designed to help providers, coders, billers, and healthcare leaders better understand how to capture the clinical work already being performed between visits while maintaining compliance with current coding and billing guidelines.

 After completing this educational session, participants will be able to:

1.     Identify the documentation requirements for General Care Management services including Chronic Care Management (CCM), Principal Care Management (PCM), Behavioral Health Integration (BHI), and related monthly services using current CPT and HCPCS-II guidelines.

2.     Distinguish between multiple care management service models, including CCM, Behavioral Health Integration (BHI), Psychiatric Collaborative Care Model (Psych CoCM), Community Health Integration (CHI), and Principal Illness Navigation (PIN), and understand when each may be appropriately reported.

3.     Apply proper coding and billing practices for care management services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), including the use of CPT and HCPCS-II codes required for reporting monthly care management services.

4.     Explain the documentation and timing requirements for Transitional Care Management (TCM), including the required post-discharge contact, face-to-face visit timeframes, and Medical Decision Making requirements.

5.     Recognize new and evolving care management service options, including Advanced Primary Care Management (APCM), Remote Physiologic Monitoring (RPM), Remote Therapeutic Monitoring (RTM), and related services that may be provided between traditional patient visits.