Care Management Services in Medicare
Under Medicare, federally-qualified health centers (FQHCs) are authorized to furnish a variety of care management services, including:
- Transitional care management (TCM)
- Chronic care management (CCM)
- Behavioral health integration (BHI)
- Psychiatric collaborative care model (CoCM)
These services allow FQHCs to improve the quality and cost-effectiveness of services to Medicare patients using strategies such as comprehensive care planning and the management of transitions between health care settings. With the exception of TCM, Medicare pays health centers a fixed monthly fee for each of the care management services.
This webinar will provide an overview of the care management services covered under Medicare, including discussion of the program requirements, patient eligibility criteria, and billing requirements associated with each. We will also touch on the requirement of patient consent and the collection of coinsurance for care management services.
To purchase the on-demand version of this webinar as a standalone, click here.
- Health Center C-Suite / Leadership
- Revenue Cycle Managers and Billing Managers
- Compliance Officers
- Legal / General Counsel
After this webinar, you will be able to:
- Identify the four types of care management services that FQHCs may furnish under Medicare
- Describe associated program requirements, billing requirements, and patient eligibility criteria for each care management service
- Discuss how health centers can use care management to enhance services to patients with chronic or comorbid conditions
SUSANNAH VANCE GOPALAN
Susannah is a Partner in the firm’s health law practice group where she focuses on health care litigation and regulatory counseling, with a focus on Medicaid and Medicare payment, financing, and compliance issues. Susannah brings regulatory expertise to bear when advising clients and pursuing litigation on their behalf. She has experience negotiating Medicaid waivers and managed care arrangements on behalf of providers, provider associations, and governmental entities. She represented a group of providers in reaching a settlement in major Medicaid litigation. [Full Bio]
REBEKAH WALLACE PARDECK (Achieve Revenue Management, LLC)
President and Owner of Achieve Revenue Management, LLC, Rebekah has more than 20 years of coding, revenue cycle management, operations, and training experience. She provides training and revenue cycle management services to federally qualified health centers, rural health clinics, and medical practices and community health centers.
Previously, Rebekah worked for over a decade as a consultant with a national accounting firm and as the director of operations for management service organizations and hospital-owned multispecialty physician practices. She is experienced in consulting on professional revenue cycle analysis and enhancement, medical practice operations, patient flow redesign, business process improvement and development, staffing analysis and redesign, practice efficiency and productivity and educational sessions and training. [Full Bio]
Certificates of Attendance: We verify attendance upon completion of a webinar (live or recorded version) and will only issue certificates in the name of the account holder enrolled in the course. If you need to document attendance for someone other than the account holder, we provide blank Certificates of Attendance for a supervisor to sign and certify that a different individual viewed the course.
Group Attendance: Due to the online nature of webinars, we cannot verify participation by more than one person. For groups, we provide an attendance record form and blank Certificates of Attendance to record attendance at a group viewing session and document each individual's participation. We recommend that a supervisor or colleague sign the certificate to certify attendance.
Read more about maintaining an attendance record in our FAQs.
- 1.50 Certificate of Attendance
If you would like to add the recorded version of the live webinar to your purchase for an additional $50, please click the checkbox above.
PURCHASING THE RECORDING
The recorded version of this webinar will be available within 48 hours of the live event. If you choose to add-on the recorded version, you will have access for 90 days after the live webinar has concluded. Once posted to your account, you can view this webinar anytime on-demand during the access period identified in your purchase confirmation. For additional information on viewing and accessing webinars, view our full terms and conditions here.
All registrations made the day of a live webinar must be completed using a credit card or PayPal. We do not accept check payments or purchase orders for live webinars on the day of the webinar. If you wish to pay by check, please register in enough time for your check to reach our office; we must receive your check before we grant access to the webinar. If we receive your check after the live webinar, we will grant you access to the recorded webinar. For the most current information, please visit our FAQ page.
For orders of live webinars, FTLF will issue a full refund for cancellations requested at least one week PRIOR to the live webinar. We do not provide refunds for no-shows; however, you may request access to the recorded version of the webinar. If you ordered the wrong webinar and need to transfer your registration to a different program, please Contact Us. View our full policy on refunds and cancellations on our FAQ page.
Google Chrome and Mozilla Firefox are the preferred browsers.