decisionhealth Newsletters, Part B News - 2015 Issue 3 (March)
8 answers to common TCM, CCM questions to ensure proper reimbursement
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Article Overview
This article addresses practical reimbursement questions for transitional care management and chronic care management. It is aimed at clinicians, coders, and billing staff who need to understand coverage-related guidance, documentation expectations, patient-status considerations, and time-based service reporting for these care management services.
Why This Topic Matters
TCM and CCM are common sources of billing confusion and denials. Understanding the article’s scope can help readers identify whether they need guidance on patient status, contact timing, documentation, or time tracking for these services.
Article Sections
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New versus established patients
Discusses patient-status questions related to transitional care management and how visit context affects medical decision-making considerations.
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How to meet contact requirements
Covers general questions about required post-discharge contact timing and related reporting considerations for transitional care management.
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What to document
Addresses the level of documentation discussed for reviewing discharge-related information and related follow-up notes.
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How to count time toward CCM
Reviews broad issues involving time counting for chronic care management and situations involving patient communication and care coordination.
What You Will Learn
- How the article frames common billing questions for transitional care management and chronic care management
- Which general topics are discussed about patient status, contact requirements, documentation, and time tracking
- Why these services can create reimbursement and compliance questions for practices
- Who may benefit from reading practical Q&A guidance on care management services
Who Should Read This
- Physicians
- Clinical staff
- Medical coders
- Billing staff
- Practice managers
Codes Discussed
Code Ranges Discussed
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