ED Coding & Reimbursement Alert - 2013 Issue 21
Transitional Care Management: 4 CMS-Approved Tips Keep Your TCM Income Flowing
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Article Overview
This article reviews transitional care management coverage and billing considerations for Medicare patients, with emphasis on CMS guidance and how it compares with CPT guidance. It is aimed at coding professionals, billing staff, and practices that report transitional care services and related evaluation and management services.
Why This Topic Matters
The article helps readers understand where Medicare reporting expectations for transitional care management may differ from general CPT guidance, which can affect claim submission and reimbursement.
What You Will Learn
- How transitional care management is discussed in the context of Medicare billing
- What kinds of CMS guidance are highlighted for TCM reporting
- How related office services are addressed alongside transitional care management
- Which broad documentation and reporting issues are emphasized for these services
Who Should Read This
- Medical coders
- Billing staff
- Physician practices
- Compliance professionals
- Revenue cycle teams
Codes Discussed
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