decisionhealth Newsletters, Answer Books - 2013 Issue 4 (April)
Is TCM right for your office?
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Article Overview
This article reviews transitional care management (TCM) in the context of Medicare billing and practice operations. It helps readers understand the general workflow, documentation, staffing, electronic health record, and appointment-timing considerations that influence whether a practice may choose TCM or continue using office evaluation and management services for post-discharge care. The discussion is aimed at physicians, office managers, coders, and care-coordination staff who assess reimbursement and operational readiness.
Why This Topic Matters
Post-discharge billing choices affect documentation burden, coordination workload, and whether a practice can realistically support the care-transition process. Understanding the article is useful for practices comparing operational readiness against the added requirements tied to Medicare TCM reporting.
Article Sections
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Assessing whether TCM fits your practice
Introduces the practice-level considerations involved in deciding whether transitional care management aligns with current workflows and post-discharge services.
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Factors to consider to bill TCM
Reviews broad operational factors such as care coordination goals, physician involvement, support staff, electronic records, training, and scheduling capacity.
What You Will Learn
- How to evaluate whether transitional care management is operationally feasible for a medical office
- Which practice capabilities influence readiness for post-discharge care coordination billing
- What broad documentation and workflow areas practices need to review before adopting TCM
- Why scheduling access and electronic health record support matter for transitional care services
Who Should Read This
- Physicians
- Practice managers
- Medical coders
- Billing staff
- Care coordination staff
Codes Discussed
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