Maximizing 2025 Reimbursement: CCM, PCM & RPM Strategies That Work

Event Materials (Key Required)

Course Description

Join us for an in-depth exploration of the latest developments in Chronic Care Management (CCM), Principal Care Management (PCM), and Remote Patient Monitoring (RPM) services. This webinar will provide a comprehensive overview of the 2025 payment models, regulatory changes, and clinical best practices that will impact your practice.

Participant will learn about the nuances of the new payment models and how they impact reimbursement for CCM, PCM, and RPM services and will be able to discover strategies for effectively managing complex patients and optimizing care coordination. Expert Keisha will review and explore the latest technological advancements in remote patient monitoring and telehealth and the best practices for documentation, coding, and billing to minimize compliance risks and audits.

This webinar is designed for healthcare providers, practice managers, and billing professionals who want to stay ahead of the curve and maximize the value of their CCM, PCM, and RPM programs and to optimize practice's revenue cycle and operational efficiency.

Learning Objectives

• Identify Complex Chronic Care Management Strategies
• Discuss key changes in the 2025 payment models for CCM, PCM, and RPM services
• Leverage Technology for Improved Outcomes of CCM, CCC, RPM and PCM
• Learn to identify best practices for documentation, coding, and billing to minimize compliance risks
• Implement strategies to maximize revenue and operational efficiency in CCM, PCM, and RPM programs
• Develop an action plan to improve their practice's CCM, PCM, and RPM programs. Explore the integration of technology, such as EHR systems, for improved documentation accuracy
• Assess the potential impact of these programs on patient outcomes, such as improved adherence, reduced hospitalizations, and enhanced quality of life

Areas Covered in the Session

• Agenda​ 
• Chronic Conditions ​ 
• CCM​ 
• Guidelines​ 
• CCCM​ 
• Evaluation And Management ​ 
• Maintaining Records ​ 
• PCM
• Best Practice ​ 
• Summary​ 
• Chronic Disease 
• Mental Health Conditions​ 
• Heart Disease​ 
• Cancer​ 
• COPD
• Diabetes ​ 
• Alzheimer’s Disease​ 
• Kidney Disease ​ 
• Challenges Of Documenting Chronic Diseases​ 
• CCM, CCCM And PCM
• Billing Providers 
• Examples Of Nonphysician QHPS:​ 
• Physicians (MD, Do)​ 
• Nurse Practitioners (NPS)​ 
• Physician Assistants (PAS)​ 
• Clinical Nurse Specialists (CNSS)​ 
• What Is Chronic Care Management (CCM)?​ 
• Patient Eligibility 
• Initiating Visit Requirements​ 
• Patient Consent​ 
• Eligible Practitioners​ 
• Auxiliary Personnel 
• CCM Supervision 
• Comprehensive Care Plan​ 
• Access To Care And Continuity​ 
• Components For CCM And Complex CCM
• Chronic Care Management Services 
• 99490 
• +99439 
• 99491 
• +99437 
• Ccm - 99490​ 
• Documentation Elements​ 
• 99490​ 
• Care Management Components 
• Benefits Of CCM
• Care Plan 
• Complex Chronic Care Management (CCCM)​ 
• Care Management Of CCCM
• Pcm ​ 
• Principal Care Management (PCM)​ 
• 99424 
• 99425 
• 99426 
• 99427 
• Principal Care Management (PCM)​ 
• CCCM Includes​ 
• Principal Care Management (PCM) Services 
• Key Services Provided By Pcm​ 
• Ensuring Compliance And Quality Care​ 
• Managing Chronic Conditions​ 
• Medicare Billing Rate 
• Implementation And Best Practices For CCM And PCM
• Reimbursement 
• Common Denials For CCM, CCCM And PCME
• Summary 
• Resources 

Suggested Attendees

• Healthcare Provider
• Medical Coder
• Billing Specialist
• Auditor
• Nurse and Nurse Practitioner
• Primary Care Physicians
• Medical Officers
• Practice Managers
• Health Information Management Manager and Staff
• Clinical Documentation Improvement (CDI) Specialist
• Administrative Staff
• Clinical Socials
• Registered Dietitian 
• Hospitals
• Physician-based Practices
• Legal Staff
• Niche Compliance Officer
• Residents

About the Presenter

Keisha Wilson, CCS, CPC, CPCO, CPMA, CRC, CPB, AAPC Approved Instructor, the founder/ CEO of KW Advanced Consulting, is a seasoned professional with over 20+ years of experience in the healthcare field. Her career in large teaching hospitals and acute ambulatory care systems includes roles such as an outpatient coding specialist, clinical documentation improvement (CDI) specialist, compliance operations coding and billing manager, interim compliance director, and consultant to various coding companies. Her extensive experience is a testament to her leadership and deep understanding of the industry.

Keisha is not just a subject matter expert in Compliance and Revenue Cycle Management but also a dedicated educator and trainer. She excels in Risk-Based Audits, Retrospective, Prospective, Evaluation and Management audits, and auditing and coding of multi-speciality, documentation, and coding Telehealth/ Telemedicine services, Risk Adjustment/ HCC provider and coder education/ training and webinars. Keisha has developed and implemented numerous compliance documentation and coding training programs for organizations of all sizes. She is an approved instructor for KW Advanced Consulting and an adjunct instructor for the American Academy for Professional Coders (AAPC), teaching a wide range of compliance and coding courses.

Keisha's dedication to sharing her expertise extends beyond her professional roles. She serves on the Board of Directors for an outpatient mental health clinic and actively participates in various telehealth and compliance committees. As a published author, she regularly contributes coding articles for KW Advanced Consulting, keeping the industry updated with the latest developments. Her collaboration with the AAPC editors on various Primary Care Coding Alerts and AAPC Magazine (formerly Healthcare Business Monthly) is a testament to her commitment to advancing the field.

Additional Information

System Requirement:

• Internet Speed: Preferably above 1 MBPS
• Headset: Any decent headset and microphone which can be used to hear clearly

For more information, you can reach out to the below contact:

Toll-Free No: 1-302-444-0162

Email: care@skillacquire.com 

Purchase Order Form - Click Here to download PO form. 

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