A final rule on Medicare physician payments in 2015 emphasizes improved chronic care management (CCM) and the supporting role of electronic health records, and loosens certification criteria a little more.

Medicare will pay a separate fee to account for the “relative resources” used in furnishing CCM services. A practice is expected to conduct 20 minutes of chronic care management per patient per month for those with two or more chronic conditions expected to last at least 12 months or until death. The chronic conditions are defined as placing the patient “at significant risk of death, acute exacerbation/decompensation or functional decline,” with a “comprehensive care plan established, implemented, revised or monitored.”

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