decisionhealth Newsletters, Part B News - 2015 Issue 10 (October)
Specialists join primary care in providing transitional care services
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Article Overview
This article examines how transitional care management services were billed by a range of specialties in 2014, with emphasis on utilization patterns and denial rates. It is relevant to coders, billers, practice managers, and specialty practices that report care transition services and want to understand how different physician groups were using the service category during the second year of code availability.
Why This Topic Matters
Understanding specialty-level billing trends for transitional care management can help practices compare their reporting patterns against peers and stay aware of payer denial trends affecting these services.
What You Will Learn
- How transitional care management billing varied across specialties
- Which specialties accounted for most reported transitional care management services
- How denial rates compared among specialties for the service category
- Which specialty groups were noted as higher-volume users of the service category
Who Should Read This
- Medical coders
- Medical billers
- Practice managers
- Primary care practices
- Specialty physician practices
Codes Discussed
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