Follow new date-of-service rule for billing transitional care management

Subscribe or sign in to view the full article.

Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers a 2016 Medicare physician fee schedule change affecting transitional care management billing, with emphasis on the revised date-of-service reporting approach and its impact on claim timing and practice workflow. It is useful for coders, billers, practice managers, and primary care staff who handle care management claims and need to understand the general billing update and related payment-rate changes.

Why This Topic Matters

The update affects how practices report and submit transitional care management claims, which can influence billing workflow, staff training, and claim processing under Medicare rules.

Article Sections

  1. Transitional care management

    Introduces the billing topic and frames the Medicare policy update affecting transitional care management services.

  2. No more wait to submit your TCM claims

    Discusses the revised claim timing approach and the broader billing workflow implications for practices.

  3. Assess the impact on your billing staff

    Explains operational effects for billing teams and highlights the need to adjust internal claim-processing procedures.

  4. TCM payment rates expected to fall

    Summarizes the article’s discussion of payment-rate movement associated with transitional care management services.

What You Will Learn

  • What changed in the Medicare physician fee schedule for transitional care management billing
  • How the article characterizes the new claim timing approach
  • What operational areas in a practice may be affected by the update
  • What the article says about payment-rate movement for transitional care management services

Who Should Read This

  • Medical coders
  • Medical billers
  • Practice managers
  • Primary care office staff
  • Revenue cycle staff

Codes Discussed


Subscribe or sign in to view the full article.

Official DecisionHealth® Newsletter Archives includes:

  • Includes over 25,000 articles from:
    • Coder Pink Sheets
    • Part B News
    • Answer Books newsletters
  • Current newsletters added each quarter
  • Timely news and guidance vital for your practice
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to the Find-A-Code Code Information pages
  • Code Information pages link back to related articles
  • Save yourself tons of research time, find everything in one place!
Access to this feature is available in the following products:
  • DecisionHealth Coding, Billing and Compliance Library

Related Articles

Articles are listed in order of calculated relevance.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?