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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.
 
You can expect an easier time getting paid for chronic care management (CCM) services in 2017, as CMS plans to clear reporting hurdles for what it calls an "underutilized" service, according to the 2017 Medicare proposed fee schedule. Yet the proposed rule shows that no small number of Medicare beneficiaries received CCM services in 2015 -- specifically, 275,000 beneficiaries.

Say hello to a new batch of G codes, newly reimbursable CPT codes and revised chronic care management (CCM) reporting criteria as CMS attempts to better capture the work a provider performs behind the scenes when treating episodic care.

You may be able to forget the full-year reporting requirement for meaningful use this year -- the year-long reporting mandate will be out the window if a proposed rule issued July 6 become final.
Starting next year, Medicare would no longer pay a higher hospital outpatient facility fee for certain items and services provided in an off-campus, provider-based setting (place of service 19), under a CMS proposal issued July 6.

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