DecisionHealth, DecisionHealth - 2025 Issue 4 (April)

Chronic, transitional care management tied to big improper pay rates

Ensure your coding and documentation accuracy is on target for a host of E/M claims, including chronic care management (CCM) (99490) and transitional care management (TCM) (99495, 99496) that one of CMS’ auditing arms has flagged for improper payments.

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