AAHCM HCCI Pre-Conference Session: Level Up! Take Your House Call Operations to New Heights-Advanced Coding Opportunities 2021

Advanced Coding Opportunities 2021

Pdf Summary

This resource provides information on advanced coding opportunities for home-based primary care (HBPC) providers. It explains various codes and services that can be used to maximize Medicare reimbursements for HBPC practices. <br /><br />One of the opportunities discussed is Transitional Care Management (TCM), which involves the oversight and care management of Medicare beneficiaries transitioning back to their homes from a hospital or healthcare facility. TCM services can be provided to new or established patients and require documentation of patient contact within two business days of discharge. Face-to-face visits with the patient must occur within 7 to 14 calendar days from discharge.<br /><br />Chronic Care Management (CCM) is another coding opportunity discussed. CCM involves the management of Medicare beneficiaries with two or more chronic conditions. Providers must obtain patient consent and develop a comprehensive care plan. CCM services can be billed based on the amount of time spent on care coordination and the management of chronic conditions.<br /><br />The resource also discusses other coding opportunities such as Principle Care Management (PCM), which focuses on comprehensive care management for high-risk diseases, and E-visits, which involve virtual communication to evaluate and address acute symptoms or problems.<br /><br />Other coding opportunities covered include Prolonged Services, Cognitive Assessment and Care Plan Services, Smoking Cessation Counseling Services, Screening, Brief Intervention, and Referral to Treatment (SBIRT) Services, Anticoagulation Management, General Behavioral Health Integration (BHI) Care Management, Interprofessional Consult Services, and Virtual Check-ins.<br /><br />The resource provides details on the specific codes, documentation requirements, and reimbursement rates for each of these coding opportunities.<br /><br />Overall, this resource serves as a guide for HBPC providers to understand and utilize advanced coding opportunities to maximize reimbursements for the care they provide.

Keywords

advanced coding opportunities

home-based primary care

HBPC providers

Medicare reimbursements

Transitional Care Management

Chronic Care Management

Principle Care Management

E-visits

Prolonged Services

Cognitive Assessment and Care Plan Services