Many people have been awaiting the results from CMS to see if the proposed changes for 2020 would be approved. Who knew that 996 pages of content could change the way we practice collaborative care. Pharmacists working directly with providers may have the opportunity to reach even more patients with additional services, changes to provider supervision requirements, and revisions to the rules for currently existing programs. Explore the new codes for CCM and RPM, and much more!
What are the changes for Chronic Care Management (CCM)?
Due to the feedback from many people conducting CCM services, CMS proposed a new code for 2020 that would allow providers to bill for additional time beyond the 20 minutes for non-complex CCM. They finalized a new code, G2058, that can be billed for additional increments of 20 minutes for qualifying CCM time. This code will be reportable for a maximum of twice during a calendar month period for a given beneficiary. Since CCM time often goes above and beyond the 20 minute billing threshold but not quite to the 60 minute threshold for complex CCM, this new code presents an opportunity to improve the profit design of CCM programs. If 60 minutes of time is recorded per calendar month, it will be up to the provider to determine if it is appropriate to use the non-complex CCM code with the G2058 code or the code for complex care management, depending on the level of medical decision making.