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With the unbundling of non-face-to-face prolonged service codes (99358, 99359) this year, you gained a brand new way to get paid for the work you do behind the scenes. But don't get dreams of going hog-wild -- you'll be limited to reporting two hours total.
You’ll find new opportunities to code for services related to care management and behavioral health in 2017, according to the final 2017 Medicare physician fee schedule released Nov. 2. CMS finalized a suite of HCPCS codes for physician-led behavioral health services, two complex chronic care management (CCM) codes, initiating visit codes and more.
Suffice it to say that doctors are less than thrilled with a CMS physician fee schedule proposal that would require surgeons to report eight G codes starting Jan. 1 for services provided during 10- and 90-day global periods.
You may find additional opportunity to get paid for the background work your providers perform in 2017 with CMS' plans to pay for non-face-to-face prolonged services, but keep an eye on billing requirements -- they may dampen the appeal.
Providers will see a 3.4% pay increase when performing chronic care management (CCM) services next year, and they'll gain a reimbursement channel for "complex" CCM.
 

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