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What item numbers are included in Total CDM and CCMP Billings?

What item numbers are included in the Total CDM and CCMP billings metric?

The Total CDM and CCMP billings metric focuses primarily on the GP-driven item numbers in terms of calculating the portion of billings derived from Chronic Condition Management services.

To navigate to this cabinet, go to Clinic Insights tab > Past Clinic Metrics > Billings Tab > Total CDM and CCMP billings

 

The item numbers included in this list come from schedules A15 and A17 of the Medicare Benefits Schedule.

The CDM and CCMP item numbers included for this metric are as follows:

Item Item Description
965 GP Chronic condition management plan
967 Review of GP Chronic condition management plan
729, 231 Contribution to plan
731, 232 RACF plan
92026, 92057 Video Contribution
92027, 92058 Video RACF
 
CDM and CCMP billings also include Individual Allied Health Services (Items 10950, 10951, 10952, 10953, 10954, 10956, 10958, 10960, 10962, 10964, 10966, 10968, 10970, 93000 and 93013) for Chronic condition management.
 
There is also the option to include:
  • Health Assessment  
  • Medication management reviews
  • Nurse items
The default option on the page is to only include CDM and CCMP Items and Health Assessments, but if you want to include the other options you can select them from the drop-down filter list for  fuller picture of CCM in your practice.

For a full overview of Total CDM and CCMP billings click here

The Health Assessment item numbers included for this metric are as follows:
 
Item Item Description
701, 224 Brief Health Assessment
703, 225 Standard Health Assessment
705, 226 Long Health Assessment
707, 227 Prolonged Health Assessment
715, 228 ATSI Health Assessment
699, 177 Heart Health Assessment
92004 Video ATSI Health Assessment

The Medication managment reviews inlcuded for this metric are as follows:

Item Item Description
900 Domiciliary Medication Management Review (DMMR)
903 Residential Medication Management Review (RMMR)

The Nurse item numbers included for this metric are as follows:

Item Item Description
10997 Service provided to a person with a chronic disease by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner
10987 Follow up service provided by a practice nurse or Aboriginal and Torres Strait Islander health practitioner, on behalf of a medical practitioner, for an Indigenous person who has received a health assessment

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