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How to document CCM activity and time spent

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Under the Chronic Care Management (CCM) program authorized by CMS, providers can bill $42.60 per 30-day period for 20 minutes of chronic care activity (non-encounter based follow up care). This help section reviews how to document the activity and time spent for CCM billing. For more information on CCM billing see the Chronic Care Management (CCM) Billing page.

CCM Documentation:

Documenting the notes and time spent per activity is at the provider’s discretion and is not mandatory. However, if the provider chooses to document additional notes and time spent it must be entered before the CCM claim is created. Once the claim is created the CCM activity cannot be edited.

CCM Billing

Once permission has been recorded for a patient, MediTouch will begin tracking clinical activities for the patient. A “CCM Billing” module is provided in the EHR to help providers identify which patients have accrued recent activity and may be ready to bill.

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  • From the EHR Dashboard click the “Documents” button in the bottom navigation menu.
  • Click “My Reports” and then “CCM Billing” to continue.

Ready to Bill

The “Ready to Bill” tab consists of patients who have granted CCM Permission to the selected provider, have at least 2 active chronic conditions, and have had recent activity during the 30 day period.

Ready to Bill
  • The Recent Activity column identifies clinical activity recorded in the patient chart within the 30-day period.
  • An edit icon is available document the recent activity.

Document the Recent Activity and Time Spent

The “Ready to Bill” tab consists of the recent activity during the 30 day period. The edit icon allows the provider delete recent activity that he or she believes is not relevant to the CCM claim. It also allows the provider to document additional notes and record the time spent per activity.

Ready to Bill
  • Click the edit icon to document the Recent Activity.
Ready to Bill
  • A “Notes” and “Time” field is available per activity.
  • Use the Notes field to document any comments necessary to justify the CCM billing.
  • Use the Time field to document the time spent performing the activity (in minutes).
Delete Recent Activity
  • Click the “X” icon to delete any activity that is determined to not be relevant to the CCM claim.
  • A confirmation message is provided, click “OK, Delete” to delete the activity.
Save Notes and Time
  • Click the “Save” button to close the window and update the recent activity.

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