Significant changes have been made in 2015 to the Current Procedural Terminology (CPT®) code section previously titled Complex Chronic Care Coordination. The revised section, Care Management Services, offers a new option for reporting care management services with reporting requirements that are less intensive and likely applicable to a larger patient population. These changes align with proposed coverage of care management services as published by the Centers for Medicare & Medicaid Services (CMS) in “Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule, Clinical Laboratory Fee Schedule, Access to Identifiable Data for the Center for Medicare and Medicaid Innovation Models & Other Revisions to Part B for CY 2015; Proposed Rule” (http://go.cms.gov/1kDT49j). Although the CMS addressed needs of the Medicare population, the proposed coverage will likely influence coverage policies for Medicaid and private health plans. The CMS stated intent that coverage of care management...

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