In 2017, CMS allowed for Patient verbal enrollment to initiate CCM services. For new patients or patients not seen within one year prior to the start of CCM, Medicare requires an annual wellness visit (AWV) and allows for CCM enrollment reimbursement during a face-to-face visit with the billing practitioner and is separately billed.
CCM services include structured recording of patient health information, maintaining a comprehensive electronic care plan, managing transitions of care and other care management services, and coordinating and sharing patient health information timely within and outside the practice.
Medicare typically reimburses $64.02 (national average for 99490) for non-RHC / FQHCs and $79.25 for RHC / FQHCs (G0511) per CCM claim.
