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When coding under a risk-adjustment paradigm, capturing the full range of a patient’s chronic conditions takes on elevated importance. That’s because your payments, and ultimately your coding compliance, may be impacted.

Providers in four states get an opportunity to join the Comprehensive Primary Care Plus program (CPC+) and become an advanced alternative payment model (APM).

Listen closely -- new clinical guidelines call for prompt intervention when providers encounter impacted cerumen and ongoing patient education about ear hygiene, among other recommendations.
Practices that assess dementia among patients and create a care plan will find a new payment opportunity in 2017, but you'll have to meet strict reporting requirements to get your claims through.
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.


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