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As detailed in this final rule, this coding and payment will incorporate elements of several specific, existing care management and communication technology-based services (CTBS) into a bundle of services, that reflects the essential elements of the delivery of advanced primary care, for payment under the PFS starting in 2025

While these activities should be documented in the patient's medical record, we agree that the need to document clinical staff minutes spent providing these services is unnecessarily administratively burdensome in the context of advanced primary care, and that the requirement to meet time-based thresholds is not necessary to bill the APCM codes (HCPCS codes G0556, G0557, and G0558) as we proposed to define them

The approach has been validated through extensive clinical research demonstrating that selectivity can be achieved without sacrificing efficacy for the targeted application

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