decisionhealth Newsletters, Part B News - 2012 Issue 11 (November)
Determine feasibility of billing transitional care management codes in 2013
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Article Overview
This article helps physicians, practice administrators, and billing staff evaluate whether Medicare transitional care management billing in 2013 fits their workflow, documentation capacity, and care-coordination goals. It covers the general requirements tied to post-discharge services, compares the operational burden of transitional care management with office visit billing, and highlights practical considerations such as staffing, electronic health record capability, and scheduling capacity.
Why This Topic Matters
The piece matters because it explains how a new Medicare billing option can affect practice revenue, workflow, and care coordination after hospital or skilled nursing facility discharge.
Article Sections
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2013 physician fee schedule
Introduces the topic in the context of the 2013 Medicare physician fee schedule and the related billing decision for post-discharge care.
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Factors to consider to bill TCM
Reviews operational and organizational considerations that may influence whether a practice adopts the billing approach, including coordination processes, staffing, technology, and scheduling.
What You Will Learn
- How the article frames the decision to evaluate transitional care management billing
- Which practice characteristics affect feasibility of post-discharge billing workflows
- What general operational areas are discussed as part of the billing decision
- How documentation, staffing, and electronic systems factor into the article's guidance
Who Should Read This
- Physicians
- Practice administrators
- Medical billers and coders
- Revenue cycle staff
- Care coordination staff
Codes Discussed
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