2022 CMS Final Rule: Increased Reimbursement and Expanded Code Set

Story by Brittani / February 25, 2022

The 2022 Medicare Final Rule went into effect on January 1, 2022, and Centers for Medicare and Medicaid Services (“CMS”) significantly increased reimbursement for Chronic Care Management (“CCM”, CPT 99490/G0511).  If your practice or clinic has ever considered CCM, now is the time to implement this program for you and your patients.  Read more here.

In addition to the increases in reimbursement, CMS is expanding the code set for care management services. The expanded code sets and increase will give more reimbursement opportunities for providers across the board. 

Below are the final reimbursement rates for 99490 and G0511:

Code 2021 Reimbursement 2022 Reimbursement
99490* $41.17 $64.02
G0511 $65.24 $79.25

*National averages are shown above.

Chronic Care Staffing, LLC (“CCS”) is an outsourced virtual care management provider that was founded in 2015, the same year Medicare’s Chronic Care Management program began.  Headquartered in Charleston, SC, Chronic Care Staffing works with clients ranging from small practices to large health systems.  CCS is a sister company of Joint Commission-certified Millenia Medical Staffing and has access to a network of nurses across the United States.  CCS is a clinically based company that doesn’t sell any software – all of our programs are designed to generate income for our clients without an upfront investment.
If you would like to learn more about how CCS can help please click here or call (888) 254-4435!

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