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General Care Management

 

 

 

CMS published their Final PFS CY 2018 rule. It encompassed significant changes for FQHCs and RHCs including a movement away from existing CCM and CoCM CPT codes. Use the graphic below to understand the new CPT codes that should be utilized by FQHCs and RHCs.

For more information on General Care Management, check out our GCM page!

Description

CY 2017

CY 2018

Chronic Care Management Services (CPT 99490) FQHCs and RHCs are permitted to bill this CPT code FQHCs and RHCs are not permitted to bill CPT codes 99487-99490 or G0507.

Instead they should bill GCCC1 services. The CPT code, for which, will eventually be G0511.

The reimbursement rate will be the average of the national, non-facility PFS payment rates for CPT codes 99490, 99487 and G0507.

Complex Chronic Care Management Services (CPT 99487/9) FQHCs and RHCs are not permitted to bill these CPT codes
Behavioral Health Integration Services (G0507) FQHCs and RHCs are permitted to bill this CPT code FQHCs and RHCs are not permitted to bill CPT codes G0502-3. Instead they should bill GCCC2 services. The CPT code, for which, will eventually be G0512.

The reimbursement rate will be the average of the national, non-facility PFS payment rates for CPT codes G0502 and G0503.

Psychiatric Collaborative Care Model (G0502 & G0503) FQHCs and RHCs are permitted to bill this CPT code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For more information on the benefits of using physician support services to extend your clinic, call H3C today!

 

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