What is “case management” in medical billing?

Case Management in Medical Billing

Case management in medical billing refers to the coordination of care services provided to patients with complex healthcare needs, often involving multiple providers.

Case Management in Medical Billing Explained

Case management involves creating and overseeing a patient care plan, ensuring that the patient receives the necessary medical, social, and financial support. In medical billing, case management services are sometimes reimbursable, especially for chronic disease management, and require specific documentation for claims submission.

For example, a case manager coordinates care for a patient with chronic heart disease, ensuring that the patient’s healthcare needs are met across different providers and specialists.

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