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Questions and Answers
What type of insurance may cover more for patients alongside Medicare?
What type of insurance may cover more for patients alongside Medicare?
- Wrap-around insurance
- Primary insurance
- Medicaid insurance
- Supplemental insurance (correct)
Which group of individuals is typically not responsible for cost sharing in terms of healthcare?
Which group of individuals is typically not responsible for cost sharing in terms of healthcare?
- Individuals with private insurance
- Dual-eligible individuals (correct)
- Medicare beneficiaries
- Individuals with employer insurance
Who can provide Chronic Care Management (CCM) services?
Who can provide Chronic Care Management (CCM) services?
- Only Critical Access Hospitals
- Only Physician's Assistant
- Only Physicians
- Nurse Practitioner, Certified Nurse Midwife, Clinical Staff (correct)
Which of the following is NOT an example of a chronic condition mentioned in the text?
Which of the following is NOT an example of a chronic condition mentioned in the text?
What type of health centers are eligible to bill for Chronic Care Management (CCM) services?
What type of health centers are eligible to bill for Chronic Care Management (CCM) services?
What is one of the main benefits of CCM services?
What is one of the main benefits of CCM services?
When did CMS adopt CPT code 99490?
When did CMS adopt CPT code 99490?
Why did Medicare create CCM services?
Why did Medicare create CCM services?
What do care plans provide caregivers with?
What do care plans provide caregivers with?
What did CMS do in 2017 regarding billing codes for CCM?
What did CMS do in 2017 regarding billing codes for CCM?
Which code did CMS replace with 99439 in 2022?
Which code did CMS replace with 99439 in 2022?
What is one of the main differences between CCM (non-complex) and complex CCM?
What is one of the main differences between CCM (non-complex) and complex CCM?
For complex CCM billing, what is necessary for the billing practitioner to personally perform?
For complex CCM billing, what is necessary for the billing practitioner to personally perform?
Which of the following is NOT required in order to submit a claim for CCM services to Medicare?
Which of the following is NOT required in order to submit a claim for CCM services to Medicare?
What is an important step in the process of billing for CCM services?
What is an important step in the process of billing for CCM services?
Why is it helpful to know the care manager assigned to a case in the event of an audit?
Why is it helpful to know the care manager assigned to a case in the event of an audit?
What is one requirement when billing for CCM services via telehealth?
What is one requirement when billing for CCM services via telehealth?
What type of information must be recorded in Electronic Health Records (EHRs)?
What type of information must be recorded in Electronic Health Records (EHRs)?
How often should patients be able to contact healthcare providers according to the text?
How often should patients be able to contact healthcare providers according to the text?
What is the average reimbursement for CPT Code 99439?
What is the average reimbursement for CPT Code 99439?
Which code is used for CCM services personally provided by a physician?
Which code is used for CCM services personally provided by a physician?
What does CPT Code 99437 represent?
What does CPT Code 99437 represent?
How much is the total average reimbursement for providing CCM services personally as per CPT Code 99491 and its add-on code?
How much is the total average reimbursement for providing CCM services personally as per CPT Code 99491 and its add-on code?
What is the main purpose of CPT Code 99487?
What is the main purpose of CPT Code 99487?
How much is the average reimbursement for CPT Code 99487?
How much is the average reimbursement for CPT Code 99487?
In CCM billing, how much non-face-to-face clinical time must be spent on care for a patient to bill for CCM?
In CCM billing, how much non-face-to-face clinical time must be spent on care for a patient to bill for CCM?
Can both complex and non-complex CCM be reported for the same patient in the same calendar month?
Can both complex and non-complex CCM be reported for the same patient in the same calendar month?
Which services cannot be billed during the same service period as CCM codes?
Which services cannot be billed during the same service period as CCM codes?
What is the additional reimbursement for each additional 30 minutes of clinical staff time spent providing complex CCM alongside CPT Code 99487?
What is the additional reimbursement for each additional 30 minutes of clinical staff time spent providing complex CCM alongside CPT Code 99487?
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