I have a question on doing the CCM. We are part of an ACO and they are doing our CCM for our patients. They are telling our providers that some of our patients are too sick to be part of CCM. I do not think they can be too sick for that from what I am reading. Does anyone else know?
Also we are being told that we have patients that are too sick to be part of the ACO. Who makes that decision? Medicare or the ACO?