Rural Health Clinics and Federally Qualified Health Centers Eligible for CCM in 2016

CMS continues emphasize the importance that primary care and the impact care coordination have to improve health outcomes and reduce expenditures.  Based on a recent change in the Medicare Physician Fee Schedule, beginning January 1, 2016, Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) will be eligible to bill for chronic care management services.

Payment for CCM services will be based on the Physician Fee Schedule national average non-facility payment rate for CPT code 99490 when billed alone or with other payable services on a RHC or FQHC claim. For the first quarter of 2015, the national average payment rate for CCM services was $42.91 per beneficiary per month

The core CCM requirements still apply for RHCs and FQHCs. Patient informed consent, personalized care plans, tracking of billable time, and use of a certified EHR are a few of the items necessary to perform the CCM services.

Together Clinic is your chronic care management resource. Contact us to see how our turn-key CCM solution can help start and maximize CCM services in your practice.