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Chronic Care Managment
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7/30/2020 @ 4:49:00 PM
Post 1 of 2

Contributor: Cassie Beesley, Springfield Clinic - Hillsboro East

If you bill the G0511 or G0512, is the patients coinsurance from Medicare 20% of billed charges or 20% of the CCM rate for G0511 or G0512?

 

7/30/2020 @ 5:01:00 PM
Post 2 of 2

Contributor: Patty Harper, InQuiseek Consulting

It should be 20% of the lower of the charge or the reimbursement. This changed. Previously, it was 20% of the charge if it was higher than the reimbursement.

Patty Harper, RHIA, CHTS-IM, CHTS-PW, CHCR
Healthcare Consultant/Principal
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Shreveport, LA 71104

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