Forum - Questions & Answers

Feb 23rd, 2015 - KINGRR 2 

CCM 99490 for hospital based physican practices

We have 15 offsite physician practices that are part of the hospital... Can these hospital based providers (POS 22 outpt hosp) bill and get reimbursed for the new chronic care management code 99490?

Thank You!

Feb 23rd, 2015 - janstewart 11 

re: CCM 99490 for hospital based physican practices

Are these primary care providers?

Feb 23rd, 2015 - Kat31477 56 

re: CCM 99490 for hospital based physican practices

http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/ChronicCareManagement.pdf

Feb 23rd, 2015 - KINGRR 2 

re: CCM 99490 for hospital based physican practices

Yes, primary care and speciality providers. We are aware of the requirements but want to be sure they will get paid.

Feb 23rd, 2015 - Codapedia Editor 1,399 

re: CCM 99490 for hospital based physican practices

If these are hospitalist providers, then they are not providing the ongoing care of the patient. So, they can't bill CCM.

If they are primary care providers that are employed by a hospital, yes.

Feb 23rd, 2015 - KINGRR 2 

re: CCM 99490 for hospital based physican practices

Thank You!



Home About Terms Privacy

innoviHealth® - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain)

Copyright © 2000-2024 innoviHealth Systems®, Inc. - CPT® copyright American Medical Association