2025 Chronic Care Management Compliance: Improve Patient Engagement and Maximizing Reimbursement
As Chronic Care Management (CCM) continues to grow as a core component of value-based care, so does the need to ensure programs are not only effective—but also fully compliant with CMS regulations. In this webinar, Dr. Irina Koyfman, DNP, NP-C, RN, will guide participants through the essential steps to align clinical care, operational workflows, and billing practices to meet compliance standards while delivering exceptional patient outcomes.
From documentation pitfalls to audit readiness, you’ll gain clarity on what it really takes to run a sustainable, defensible, and profitable CCM program. Whether you're building a new program or auditing an existing one, this session will offer expert insights to secure your success from care to compliance.
Learning Objectives
Understand CMS compliance requirements for billing CCM services
Identify common documentation and billing pitfalls that lead to denials or audits
Develop internal strategies to maintain audit readiness and billing accuracy
To understand CMS’s Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and Principal Care Management (PCM) requirements
Examine the Scope of Services required to bill Medicare for RPM, CCM, and PCM services
Identify how CCM can close care gaps and engage patients
Assess the financial and quality implications of incorporating RPM and CCM in your practice
To summarize the evaluation plan
To identify what is needed for the Implementation Plan
Areas Covered in the Session
CMS Policy on RPM, CCM and PCM
Patients Qualifications
Billing Requirements
Who can and cannot Bill for CCM
Consent
Comprehensive Care Plans
Evaluation Plan
Patient Population
In-House vs Outsourcing Pros and Cons
Software vs EMR
Implementation Plan
Suggested Attendees
Physicians
Nurses
Doctors
Nurse Practitioner
Population Health Officers
Innovation officers
CFO/ CNO/ CMO
Chief Clinical Officer
Billers and Coders
PCP (MD, NP, PA)
Specialists (MD, NP, PA)
Nurse Managers
C-Suite Healthcare Executives
About the Presenter
Dr. Koyfman is a Nurse Practitioner and Doctor of Nursing Practice with over 30 years of nursing experience and 20 years in executive leadership. An entrepreneur at heart, Dr. Koyfman has founded four successful healthcare ventures, achieving remarkable operational growth (up to 1,000%), building high-retention teams, and consistently improving patient satisfaction and outcomes. As a Subject Matter Expert in CCM and RPM, she is a sought-after presenter at national conferences. In her role as founder of Affinity Expert, she consults primary care practices on the clinical, operational, and financial implementation of CCM and RPM.
Dr. Koyfman also fosters a vibrant community of clinicians through her CCM/RPM groups on Facebook and LinkedIn, offering free educational resources to providers. Committed to service, she volunteers on multiple boards and participates in hands-on volunteer work, reflecting her dedication to giving back to the healthcare community she serves.
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Additional Information
System Requirement:
Internet Speed: Preferably above 1 MBPS
Headset: Any decent headset and microphone which can be used to hear clearly
For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com