Description:
Chronic and Transitional Care Management are designed as reimbursable concierge care services for patients who meet specific criteria, aimed at preventing rehospitalization. These codes should not be seen merely as a checkbox for additional revenue. In this session, we will explore the services rendered and the supporting diagnoses used for these and Advanced Care Planning. We will discuss proper diagnosis assignment and delve into the medical necessity aspects as well.
Learning Objectives:
Appropriate Use of Codes: Participants will gain knowledge on the correct application of diagnosis codes for Chronic and Transitional Care Management and Advanced Care Planning.
Documenting Medical Necessity: Audit for the medical necessity for care management services effectively, supporting the need for the services provided and justifying the use of specific codes.
Case Analysis and Application: Participants will analyze real-world examples and case studies to apply best practices in rendering services, assigning diagnoses, and documenting medical necessity for Chronic and Transitional Care Management and Advanced Care Planning.
NAMAS presentations are submitted for approval to the AAPC and requested for 1 credit hour for Core A and all applicable certifications, including CPMA.