Billing & Coding for Chronic Care Management & Other Emerging Issues in PALTC

Recorded July 19, 2017


Charles Crecelius, MD, PhD, CMD; Bob Zorowitz, MD, CMD; Alva "Buzz" Baker, MD, CMD


This webinar will provide updates to billing codes, including Chronic Care Management (CCM) and Complex CCM, that have recently been approved by the Centers for Medicare & Medicaid Services. Participants will learn the requirement changes for these codes, including changes for submitting claims. The session will also review and explore the finer points of some classic billing and coding enigmas that continue to be challenging for many PALTC practitioners.

Learning Objectives:

  • Identify strategies for developing a practice to meet CCM coding requirements.
  • Discuss updates to CCM and Complex CCM Billing Codes.
  • Review details of some reoccurring perplexing PALTC coding and billing issues.
  • Discuss requirements for non-face-to face services.


1.5 CME, 1.5 CMD management

CME/CMD Credits available until July 2020


Member Non-Member


Speaker Biographies:

Alva Baker, MD, HMDC, CMDR, began caring for frail elderly patients in the long-term care setting in 1972. He served as the Medical Director for Episcopal Ministries to the Aging (EMA) from 1980 until his retirement in June of 2009 as Vice President for Health and Wellness Services for EMA. He concurrently served as the Executive Director of The Copper Ridge Institute, wherein his focus of research and teaching has been on the care of persons with Alzheimer’s disease and other forms of dementia. He serves on the faculty of the Division of Geriatric Psychiatry and Neuropsychiatry of the Department of Psychiatry and Behavioral Sciences at the Johns Hopkins University School of Medicine. He is also serves on the Gerontology faculty at McDaniel College. He is a member of local, state and national medical societies. He has served on the Professional Advisory Committee of Carroll Home Care/Carroll Hospice, as an Associate Medical Director for Carroll Hospice, and on the Board of Directors of the Partnership for a Healthier Carroll County. He is a member of the Board of Directors of the Hospice and Palliative Network of Maryland. Dr. Baker is an Emeritus member of the Medical Staff of Carroll Hospital Center, and he is currently a member of the Medical Staff of Meritus Medical Center. He has taught extensively about medical direction issues and continuous quality improvement to medical directors and staff at all levels in residential care facilities throughout the long term care continuum. He is a Certified Medical Director, Retired, and a member of the AMDA – The Society for Post-Acute and Long-Term Care Medicine, for which he served as President in 2007-2008. Board certified in Geriatrics and in Hospice and Palliative Medicine, he presently serves as the Chief Medical Officer for the Hospice of Washington County, in Hagerstown.

Charles Crecelius, MD, PhD, CMD, is a private practice geriatrician and multi-facility medical director for Delmar Gardens Nursing Homes, and Assistant Clinical Professor of Internal Medicine and Geriatrics at Washington University School of Medicine. He is a Past President of the Society, and Past Chair of the Society's Public Policy Committee. He has worked on a variety of national and state quality improvement projects in long-term care. He is currently the Project Medical Director for the Missouri Quality Initiative for Nursing Homes (MOQI).

Robert A. Zorowitz, MD, MBA, CMD, is Medical Director at Optum Care Plus (formerly EverCare) in New York, NY. He is a graduate of Albany Medical College, completed his residency in Internal Medicine at Long Island Jewish Medical Center and his fellowship in Geriatric Medicine at Mount Sinai Medical Center. He received his Master of Business Administration from Goizueta Business School at Emory University.

Speaker Disclosures:

All members of the education and online education committees have no financial relationships to disclose. Speakers of this program have no financial relationships to disclose.