Opportunity | Description | Issues |
---|---|---|
Care manager evaluation and management as an independent provider | “Incident to” care of a provider. Allows certain care manager types to bill evaluation and management codes for care manager work in conjunction with the care of a primary care physician |
|
Nurse or other provider visit (99211) | Office visit for the evaluation and management of an established patient that may not require the presence of a physician |
|
T-codes | Encounter-based billing that allows specified allied health professionals phone or in person visits for disease management for patients with specified chronic conditions |
|
Medical nutrition therapy (MNT) provided by a registered dietitian (RD) | Nutrition counseling provided by an RD |
|
Per member per month fee payment | Usually paid for an entire population, set amount paid to the practice whether care management is given or not |
|
Medicare wellness | Completion of wellness visit as specified by Medicare |
|
RD, registered dietician.