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.
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.
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 (AHIMA) and the American Academy of Professional Coders (AAPC). With over a decade of industry experience, she has led and supported hospital systems, universities, physician practices, payers, government agencies, and other entities on coding, billing, and compliance initiatives. She is a frequent contributor to various media outlets, speaker, and regular guest on industry podcasts. She created the Alpha Coding Podcast series to share her industry Pro-Tips. She also leads and mentors a network of revenue cycle management professionals across the country and serves as the President of the Orlando, FL AAPC Chapter.