CMS Release Chronic Care Management Services Changes for 2017

January 13, 2017
Policy Snapshot

The Centers for Medicare & Medicaid Services (CMS) recently approved a number of changes to the payment rules for Chronic Care Management (CCM) services under Medicare Part B for CY 2017 to reduce administrative burden and improve payment accuracy.

Key improvements for 2017 include increased payment and additional codes. The single CCM code paid approximately $42 an now there are three codes and payment can range from $43 to over $141, depending on the complexity of the patient’s needs. See the CCM Services Changes for 2017 fact sheet for more details and changes.

CMS also updated their FAQs on CCM. There is a FAQ that asks “Can I bill CCM services furnished to beneficiaries in skilled nursing facilities, nursing facilities, assisted living or other facility settings?” CMS’ response is that “Yes. CCM is priced in both facility and non-facility settings. The place of service (POS) on the claim should be the location where the billing practitioner would ordinarily provide face-to-face to the beneficiary.”

The Society is reviewing the new CMS changes and will provide more information to members. To read more check out CMS’ Care Management website.