Navigating the 2025 Medicare Care Management Updates

Toni Elhoms

Toni Elhoms

Toni Elhoms, CCS, CRC, CPC, AHIMA-Approved ICD10-CM/PCS Trainer is a nationally known speaker and recognized subject matter expert on medical coding, reimbursement, and revenue cycle management. She is the Founder and CEO of Alpha Coding Experts, LLC. She holds multiple credentials with the American Health Information Management Association...
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December 05, 2024
01:00 PM ET | 12:00 PM CT
60 Mins

Care Management services empower healthcare providers to monitor and support their patients in real time through advanced technology and remote communication tools. As the Centers for Medicare & Medicaid Services (CMS) continues to invest in and advocate for these programs, the emphasis remains on enhancing care quality, improving patient outcomes, and reducing hospital readmissions. The reimbursement and reporting guidelines for care management are increasingly intricate, with significant updates set for 2025.

This session by industry expert Toni Elhoms, CCS, CPC, CPMA, CRC, CEMA, AHIMA-Approved ICD-10-CM/PCS Trainer offers an in-depth analysis of the 2025 Medicare updates affecting care management services, clarifying the distinctions between various care coordination services available to providers. Participants will gain actionable insights to immediately enhance compliance and efficiency. Given the time-based nature of many care coordination services, accurate tracking is essential to ensure revenue cycle compliance.

Toni will cover the latest billing, coding, and documentation requirements, emphasizing the need for robust clinical documentation and a strong operational foundation to sustain effective care management programs. Join us to deepen your understanding and enhance your organization’s approach to care management.

Webinar Objectives

This session aims to provide healthcare professionals with an in-depth understanding of the 2025 Medicare updates affecting care management services, including Chronic Care Management (CCM), Principal Care Management (PCM), Remote Patient Monitoring (RPM), and Remote Therapeutic Monitoring (RTM).

This session will clarify complex billing, coding, and documentation requirements and emphasize the importance of precise time tracking and a solid operational infrastructure to ensure compliance and optimize revenue cycle processes.

Attendees will gain strategic insights to enhance the effectiveness of their care management programs, align with regulatory standards, and promote improved patient outcomes.

Webinar Agenda

  • Recall the relevant Medicare Chronic Care Management (CCM) coding updates in 2025
  • Understand the relevant Medicare Principal Care Management (PCM) coding updates in 2025
  • Recall the relevant Medicare Remote Patient Monitoring (RPM) coding updates in 2025
  • Understand the relevant Medicare Remote Therapeutic Monitoring (RTM) coding updates in 2025
  • Recognize the clinical documentation requirements for care management services in 2025
  • Know the pertinent billing modifiers for care management services in 2025

Webinar Highlights

  • Review the 2025 Medicare Chronic Care Management (CCM) coding updates
  • Discuss CCM clinical documentation service requirements
  • Review the 2025 Medicare Principal Care Management (PCM) coding updates
  • Discuss PCM clinical documentation service requirements
  • Outline the key differences between CCM and PCM services
  • Review the 2025 Medicare Remote Patient Monitoring (RPM) coding updates
  • Discuss RPM clinical documentation service requirements
  • Review the 2025 Medicare Remote Therapeutic Monitoring (RTM) coding updates
  • Discuss RTM clinical documentation service requirements
  • Outline the key differences between RPM and RTM services for 2025
  • Discuss pertinent care management service modifiers for 2025

Who Should Attend

  • Medical Coding Specialists
  • Medical Billing Specialists
  • Medical Auditing Specialists
  • Private Practice Physicians
  • Managed Care Professionals
  • Operations Leadership
  • Practice Administrators
  • Office Managers
  • Compliance Officers/Committees  
  • Chief Medical Officer
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