WorkflowTemplates, flow sheets and mapping aids

• Workflow

  Chronic Care Management fee Fact Sheet

  Learn about the Chronic Care Management fee in this Fact Sheet from the Centers for Medicare & Medicaid Services (CMS). In recognizing the critical role of care management in primary care, CMS pays for care coordination services of Medicare beneficiaries with multiple chronic conditions.

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  Attribution: 

  Centers for Medicare and Medicaid Services (CMS)
• Workflow

  Chronic Care Management fee FAQs

  Get your questions answered about the Medicare Chronic Care Management fee, in this FAQ from the Centers for Medicare & Medicaid Services (CMS).

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  Attribution: 

  Centers for Medicare and Medicaid Services (CMS)
• Workflow

  Chronic Care Management fee guidelines for RHCs and FQHCs

  Rural Health Centers (RHCs) and Federally Qualified Health Centers (FQHCs) may receive additional payment for the costs of care management services to Medicare beneficies. Learn about guidelines for using the Chronic Care Management fee in RHCs and FQHCs.

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  Attribution: 

  Centers for Medicare and Medicaid Services (CMS)
• Workflow

  Billing for Certified Diabetes Educators (CDEs)

  Billing for Certified Diabetes Educators (CDEs) depends on the payer. For more information, see this website.

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• Workflow

  Billing for Behavioral Health Specialists

  Billing for Behavioral Health Specialists, such as licensed clinical social workers, depends on the payer and the state. Medicaid has national billing procedures, while Medicaid varies by states. The Center for Integrated Health Solutions offers financial worksheets for billing Medicaid in each state, which are useful for FQHCs to identify state-specific diagnostic codes and what professional credentials are needed to submit a payable claim.

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