Earlier in this newsletter, “Chronic Care Management: Documenting a Plan of Care” discusses the requirements of a plan of care. An example of a form for manually tracking time spent in chronic care management (CCM) activities is available at http://coding.solutions.aap.org. The following examples are provided to further demonstrate CCM activities and how the time spent in these activities may be tracked. Examples illustrate only how activities and time might be documented and are not intended as indications of clinically appropriate care.

The patient in each example is Anthony Jefferson, who has asthma and attention-deficit/hyperactivity disorder (ADHD). Anthony’s mother is referred to as Mrs Jefferson. The practice name is A Great Pediatric Practice. The care team for Anthony includes Susan Kelly, MD, FAAP; Bonnie Wood, LPN; and Dan Thomas, MA. Examples span from December 2019 to February 2020.

The following CCM activities were documented in the electronic health record (EHR)...

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