prolonged services

Lifestyle medicine takes longer to do better care.  Understand the rules on how to get paid for the extra time you spend appropriately.  CMS guidance on using codes 99354-99359.  Used for the time beyond the base visit time and it's code.

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intensive behavioral therapy (IBT) for obesity

 ! CAUTION - Reimbursement levels are unsustainable.  Must be part of primary care.
​ National Coverage Determination (NCD) for Intensive Behavioral Therapy for Obesity - CMS

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ABC's of  the IPPE (Initial Preventive Physical Examination)
("Welcome to Medicare" Exam)

 Almost everything you need to know, straight from CMS.  Coding, billing, possible additional associated services, etc. Must be done by a physician or qualified non-physician practitioner.

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ABC's of  the AWV (Annual Wellness Visit)

 Almost everything you need to know, straight from CMS.  Coding, billing, possible additional associated services, etc. Can be done by a physician, qualified non-physician practitioner, medical professional or team of medical professionals who are supervised by a physician.

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CHRONIC CARE MANAGEMENT (CCM)

 CMS now has ways to get paid for all that work you and your team do for patients with multiple conditions when the patient is not in the office, including all the lifestyle support you could and should be providing.  Learn how this mechanism works.  Don't forget the updates in 2017 found here.  Realize that it is a lot of work getting things set up and you are very likely to need some help with it.

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