Posts tagged Principal Care Management
OIG’s Call for Increased Oversight of Remote Patient Monitoring Misses the Mark
OIG’s Call for Increased Oversight of Remote Patient Monitoring Misses the Mark

Learn about the Office of Inspector General’s new report around remote patient monitoring and the key areas where it misses the mark.

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Remote MonitoringCarrie NixonOIG, remote patient monitoring, Remote Therapeutic Monitoring, Remote Monitoring, remote care, Telehealth, Medicare, Teleheath, software as a medical device, Digital Health, compliance, compliance assessment, Healthcare compliance, Chronic Care Management, Principal Care Management, behavioral health integration
Additional Reimbursement for Chronic Care Management and Principal Care Management Finalized in the 2022 MPFS
Additional Reimbursement for Chronic Care Management and Principal Care Management Finalized in the 2022 MPFS

In the Final Medicare Physician Fee Schedule (“MPFS”) for 2022 (the “Final Rule”) issued on November 2, 2021, the Centers for Medicare and Medicaid Services (“CMS”) added five new CPT codes in the categories of Chronic Care Management (“CCM”) and Principal Care Management (“PCM”) and increased reimbursement for already existing codes in the same categories. Despite stakeholder feedback, CMS refrained from making any changes to the existing rules for obtaining beneficiary consent for CCM and PCM.

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Medicare Physician Fee ScheduleKaitlyn O'Connor and Reema TanejaCCM, PCM, Chronic Care Management, Principal Care Management, MPFS, 2022, 2022 Medicare Physician Fee Schedule, medicare physician fee schedule, 99437
Principal Care Management (PCM) Reimbursement under the 2020 Medicare Physician Fee Schedule
Principal Care Management (PCM) Reimbursement under the 2020 Medicare Physician Fee Schedule

The 2020 Medicare Physician Fee Schedule (the “Final Rule”), released on November 1, 2019, finalized two new codes in a new category of reimbursement titled “Principal Care Management” (PCM) Services. The new codes will be effective as of January 1, 2020, and provide reimbursement for managing a patient’s care for a single high-risk disease or complex chronic condition.

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Medicare Physician Fee ScheduleKaitlyn O'ConnorPrincipal Care Management, PCM, 2020 Medicare Physician Fee Schedule, MPFS, 2020 MPFS, CCM