TCM: Report codes 30 days after discharge, watch timing of Face-to-face visit

Why This Topic Matters

Transitional care management affects post-discharge workflow, documentation, and claim submission timing. Understanding the general reporting framework helps practices avoid missed billing opportunities and coordinate care appropriately.

Article Sections

1. Coverage and reporting overview

   Introduces Medicare coverage of transitional care management and the practice decision-making around whether to provide these services. Summarizes the overall topic and its relevance to primary care billing.

2. Timeframe

   Discusses the reporting period after discharge and the settings involved in a transition of care. Also addresses situations that limit reporting during the post-discharge window.

3. Communication

   Covers the required post-discharge contact process and who may perform it. Describes the timing framework for the communication requirement at a high level.

4. Who can report

   Addresses which clinician may report the service and the relationship between discharge-day management and the bundled follow-up period. Notes the general concern about overlapping reporting.

5. Complexity and timing of the face-to-face visit

   Explains how the timing of the follow-up visit interacts with the service’s complexity component. Also notes related considerations for non-Medicare reporting and separate services referenced by the article.