decisionhealth Newsletters, Part B News - 2015 Issue 11 (November)
Follow new date-of-service rule for billing transitional care management
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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
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Transitional care management
Introduces the billing topic and frames the Medicare policy update affecting transitional care management services.
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No more wait to submit your TCM claims
Discusses the revised claim timing approach and the broader billing workflow implications for practices.
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Assess the impact on your billing staff
Explains operational effects for billing teams and highlights the need to adjust internal claim-processing procedures.
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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
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