NAMAS Webinar Q&A: TCM & CCM: What You Need to Know

Post here your questions regarding auditing ,coding, documentation, and compliance. Also, join in on the conversation- help your fellow auditors and compliance professionals in the industry.

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Wed May 15, 2019 9:04 am

Below are the questions received during our recent webinar, TCM & CCM: What You Need to Know, originally presented on May 14, 2019. These questions have been answered by the webinar presenter, Aimee Wilcox, CPMA, CCS-PCST, MA, MT.

Also, here is the link to the CCM FAQ that Aimee referred to in the webinar:
https://www.cms.gov/Medicare/Medicare-F ... es_FAQ.pdf

Question 1:
Is it possible for the nursing staff to render CCM services. Or must they be registered to practice as Clinical Nursing Specialists?
Answer 1:
CMS policy identifies these three nurse types and physician assistants as eligible to bill CCM services: see document at https://www.cms.gov/outreach-and-educat ... gement.pdf

This indicates they must be Clinical Nurse Specialists (CNS).

Practitioner Eligibility:
Physicians and the following non-physician practitioners may bill CCM services:
Certified Nurse Midwives
Clinical Nurse Specialists
Nurse Practitioners
Physician Assistants

Question 2:
You are a wonderful presenter. You mentioned that you have quite a bit of info on Telemed rules that you could share.. I would very much like to know more.
Answer 2:
I am actually presenting at the Utah Department of Fraud next Tuesday on Telemedicine and will be recording the presentation prior to it to sell on at findacode.com. Telemedicine is a rapidly expanding area of medicine with state laws and payer policies constantly changing, so keeping up to date is very important. If you sign up for a free 28-day trial at findacode.com, you can access prior webinar presentations we've done and my counterpart, Wyn Staheli, Director of Research, did a Telemedicine webinar I believe in November that contains quite a bit of information. A 28-day free trial doesn't require a credit card and isn't followed by tons of email or phone calls trying to pressure you into a regular subscription. Someone may call you to show you how the site works (it is seriously like being a kid in a Wonka Chocolate Factory where there are so many things to do and check out you simply may need some assistance navigating is all).

Feel free to check out that resource in past webinars by signing in and going to Community, Webinars 30-60 minutes and searching Telemedicine. If you'd like even more information, the one I am recording will be on sale soon too. We also have several articles on our website, which you can search through the topic pages.

A good resource for state policies is: http://www.fsmb.org/siteassets/advocacy ... _state.pdf

Question 3:
Very informative! You stated to email you regarding information on telehealth services. I would appreciate any information you have.
Answer 3:
I am actually presenting at the Utah Department of Fraud next Tuesday on Telemedicine and will be recording the presentation prior to it to sell on at findacode.com. Telemedicine is a rapidly expanding area of medicine with state laws and payer policies constantly changing, so keeping up to date is very important. If you sign up for a free 28-day trial at findacode.com, you can access prior webinar presentations we've done and my counterpart, Wyn Staheli, Director of Research, did a Telemedicine webinar I believe in November that contains quite a bit of information. A 28-day free trial doesn't require a credit card and isn't followed by tons of email or phone calls trying to pressure you into a regular subscription. Someone may call you to show you how the site works (it is seriously like being a kid in a Wonka Chocolate Factory where there are so many things to do and check out you simply may need some assistance navigating is all).

Feel free to check out that resource in past webinars by signing in and going to Community, Webinars 30-60 minutes and searching Telemedicine. If you'd like even more information, the one I am recording will be on sale soon too. We also have several articles on our website, which you can search through the topic pages.

A good resource for state policies is: http://www.fsmb.org/siteassets/advocacy ... _state.pdf
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