Description

As Chronic Care Management (CCM) continues to grow as a core component of value-based care, so does the need to ensure programs are not only effective—but also fully compliant with CMS regulations. In this webinar, Dr. Irina Koyfman, DNP, NP-C, RN, will guide participants through the essential steps to align clinical care, operational workflows, and billing practices to meet compliance standards while delivering exceptional patient outcomes.

From documentation pitfalls to audit readiness, you’ll gain clarity on what it really takes to run a sustainable, defensible, and profitable CCM program. Whether you’re building a new program or auditing an existing one, this session will offer expert insights to secure your success from care to compliance.

Learning Objectives:

• Understand CMS compliance requirements for billing CCM services
• Identify common documentation and billing pitfalls that lead to denials or audits
• Develop internal strategies to maintain audit readiness and billing accuracy
• To understand CMS’s Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and Principal Care Management (PCM) requirements
• Examine the Scope of Services required to bill Medicare for RPM, CCM, and PCM services
• Identify how CCM can close care gaps and engage patients
• Assess the financial and quality implications of incorporating RPM and CCM in your practice
• To summarize the evaluation plan
• To identify what is needed for the Implementation Plan

Areas Covered in the Session:

• CMS Policy on RPM, CCM and PCM
  • Patients Qualifications
  • Billing Requirements
  • Who can and cannot Bill for CCM
  • Consent
  • Comprehensive Care Plans
• Evaluation Plan
  • Patient Population
  • In-House vs Outsourcing Pros and Cons
  • Software vs EMR
• Implementation Plan

Attendees:

• Physicians
• Nurses
• Doctors
• Nurse Practitioner
• Population Health Officers
• Innovation officers
• CFO/ CNO/ CMO
• Chief Clinical Officer
• Billers and Coders
• PCP (MD, NP, PA)
• Specialists (MD, NP, PA)
• Nurse Managers
• C-Suite Healthcare Executives