ED Coding & Reimbursement Alert - 2013 Issue 6
Local Mac Spotlight: This Carrier's Still Developing TCM Rules
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Article Overview
This article covers a Medicare contractor call discussing transitional care management services and the ongoing rollout of therapy functional reporting requirements. It is relevant for coders, billers, and compliance staff who need to track CMS guidance, local MAC commentary, and implementation timing for Medicare reporting changes. The article also notes examples of the new reporting framework and points readers to a CMS resource for further information.
Why This Topic Matters
It highlights how Medicare reporting changes may be handled during a transition period and why practices need to monitor both CMS instructions and local contractor communication. It is especially useful for teams preparing claims workflows for new Medicare service reporting requirements.
Article Sections
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Transitional Care Management guidance
Discussion of local contractor comments on early Medicare transitional care management implementation and general reporting considerations.
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Therapy functional reporting rollout
Overview of the timeline for Medicare therapy functional reporting, including the testing period and upcoming implementation date.
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Examples and CMS resource
A brief example of the new reporting framework and a reference to a CMS educational resource.
What You Will Learn
- How the article frames the status of early Medicare transitional care management guidance
- What the article says about the rollout period for therapy functional reporting requirements
- Which organizations and Medicare contractors are discussed in relation to implementation updates
- What general types of reporting changes are being tracked for Medicare claims
- Where the article directs readers for additional CMS information
Who Should Read This
- Medical coders
- Medical billers
- Therapy coding staff
- Compliance staff
- Revenue cycle professionals
- Practice managers
Codes Discussed
Modifiers Discussed
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