Avicenna Medical Blog

2018 Updates to the Medicare Diabetes Prevention Program

Posted by DeAnn Dennis on Thu, May 24, 2018 @ 02:43 PM

Updates for Medicare Diabetes Prevention Program Expanded Model:

With the intent of lowering the rate of progression to Type II diabetes and improving overall health, the CMS has finalized the Medicare Diabetes Prevention Program (MDPP) expanded model, which will allow qualified providers to begin furnishing MDPP services this year.

Read More

2018 Updates to Medicare Care Management Programs

Posted by DeAnn Dennis on Thu, Apr 19, 2018 @ 04:14 PM

Care Management Programs Overview:

Beginning in 2013, the Centers for Medicare and Medicaid Services introduced transition of care management (TCM), reimbursing providers for helping their patients with the transition from hospital to home.  Following the introduction of TCM; in 2015 CMS introduced the original chronic care management code, CPT code 99490, to pay providers for delivering non-face-to-face care to Medicare patients with two or more chronic conditions.

In 2017 CMS enhanced the...

Read More

2018 Care Management Code Updates for Federally Qualified Health Centers and Rural Health Centers

Posted by DeAnn Dennis on Wed, Jan 03, 2018 @ 07:57 AM

Overview - Care Management Updates:

On November 15, the final rule of the Medicare 2018 Physician Fee Schedule was published.  The updates include new billing codes and increased reimbursement for Rural Health Centers (RHCs) and Federally Qualified Health Centers (FQHCs) when certain care management services are furnished. Beginning on January 1, 2018, two new billing codes present RHCs and FQHCs with the opportunity to receive higher reimbursement for providing Chronic Care Management...

Read More