New care management information for FQHCs and RHCs is available to help these healthcare organizations take advantage of value-based care initiatives, such as Medicare’s Chronic Care Management.
Over the years, Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) have seen their payments and requirements associated with Medicare’s Chronic Care Management (CCM) program evolve.
A Timeline of Care Management Information for FQHCs and RHCs: CCM Services
In 2015, when the program was first introduced, RHCs and FQHCs were excluded from participating in billing for CCM services.
In 2016, these practices were finally allowed to bill for CCM services, but were limited by the requirement to provide them under direct supervision.
In 2017, a shift from direct supervision to a general supervision requirement made CCM easier to implement for RHCs and FQHCs, by allowing them to contract with third parties to provide CCM to patients on their behalf.
Additional changes to the program also removed certain enrollment and administrative burdens, provided more opportunities to improve health outcomes and support the overall well-being of patients, and made payments more in line with physician efforts.
2018 Is a Game Changer for RHCs and FQHCs
Now, for 2018, four care management services, including CCM, Transitional Care Management (TCM), General Behavioral Health Integration (BHI), and Psychiatric Collaborative Care Model (CoCM), mean RHCs and FQHCs will receive more robust support than ever for effectively managing the care of patients with chronic illnesses.
This support includes an increase in CCM-related reimbursement with the new G0511 General Care Management code, a reduction in burdensome reporting requirements, and greater consistency with RHC and FQHC payment methods.
CareSync Can Implement and Deliver CCM On Behalf of RHC and FQHC Practices
With these changes, which became effective January 1, 2018, RHCs and FQHCs are in the best possible position to leverage support from a reputable third party to deliver CCM services to patients on their behalf.
By choosing CareSync, the leader in Chronic Care Management, RHCs and FQHCs can:
- Deliver CCM services to patients with minimal demand on available resources
- Achieve maximum reimbursement with proven patient engagement and enrollment tools
- Improve patient access to care with CareSync Health Assistants available 24/7/365
- Provide healthcare services that support patients, their family members, caregivers, and the community
Learn more about CCM implementation and other care management information for FQHCs and RHCs through the CareSync website.
This is also a great time to discuss your options for providing CCM in RHCs or FQHCs. Call us at 800-501-2984 or email firstname.lastname@example.org.