Maximizing Reimbursement for CCM, PCM, and RPM: A 2025 Perspective

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
What Is Chronic Care Management (CCM)?
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
Live Q&A Session

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:

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

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

Live Course Cancellation Policy: If for any reason Skillacquire need to cancel this program, Skillacquire will notify participants by email of the cancellation no less than 24 hours prior to the expected start time.

Can’t Listen Live?

No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com

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