decisionhealth Newsletters, Coder Pink Sheets - 2013 Issue 9 (September)
Getting paid: Streamline TCM coding to earn as much as $90 more for care coordination
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Article Overview
This article discusses transitional care management (TCM) coding from a practice-operations and reimbursement perspective. It addresses common billing confusion, documentation and workflow needs, staff coordination, Medicare-related considerations, and the kinds of situations that may affect whether TCM reporting is worthwhile for a practice. The piece is aimed at coders, billers, practice managers, and clinicians who handle post-discharge follow-up and want to understand the general workflow and payment implications.
Why This Topic Matters
Practices that handle post-discharge care need a reliable process for documenting coordination activities and selecting the appropriate billing approach. This article helps readers gauge whether TCM reporting fits their workflow and where operational gaps may lead to claim problems.
Article Sections
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Introductory overview
Introduces transitional care management and the general billing and documentation issues practices have encountered. It frames the article around workflow, reimbursement, and follow-up care coordination.
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Tips to streamline TCM coding
Covers practice organization, documentation habits, staffing workflows, and general Medicare-related considerations. It also discusses comparing the administrative effort with the expected payment impact.
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Official resources
Lists external reference materials and practice tools related to the topic.
What You Will Learn
- How the article frames transitional care management billing and documentation
- What operational areas practices may need to organize before submitting TCM claims
- What general reimbursement and workflow considerations the article highlights
- Which types of reference resources are mentioned for further support
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Physicians
- Non-physician practitioners
- Care coordination teams
Codes Discussed
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