TCM continues climb, but some specialties, sites of service stumble

Why This Topic Matters

TCM is a common care management service with changing utilization patterns across specialties and facilities. Understanding broad Medicare claim trends and denial patterns can help readers assess whether this topic is relevant to their practice and where additional review may be needed.

Article Sections

1. Overview of transitional care management trends

   Introduces Medicare Part B transitional care management and summarizes overall claim growth and denial patterns over multiple years.

2. Claim growth for the TCM codes

   Discusses comparative growth in the two transitional care management code categories across the study period and their overall volume trends.

3. Provider specialty patterns

   Summarizes which provider types account for most claims and notes broad differences in denial rates by specialty.

4. Place of service patterns

   Reviews how claims are distributed across place-of-service settings and highlights variation in denials by site of service.

5. Transitional care management claims, 2015-2019, with denial rates

   References the charted data presentation supporting the article’s discussion of claim volume and denial trends.