E/M Coding Alert - 2016 Issue 9
Reader Question: Determine 'Clinical Staff' Eligibility for TCM
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Article Overview
This reader question and answer discusses CPT guidance for Transitional Care Management in a surgical office setting. It focuses on the general scope of the service, the involvement of clinical staff, and where to look in the CPT codebook for the definition used in the article. The piece is relevant to coders, billers, and office staff who need a high-level understanding of TCM-related workflow and documentation concepts.
Why This Topic Matters
Transitional Care Management billing often involves multiple team members and careful interpretation of CPT guidance. Understanding the broad staffing and service context can help practices evaluate whether their workflows align with the guidance discussed in the article.
What You Will Learn
- How the article frames Transitional Care Management in a general practice setting
- Where the article points readers for CPT guidance on clinical staff
- What broad categories of staff participation are discussed in relation to TCM services
- Which types of office and hospital activities are mentioned as part of the overall service workflow
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Practice managers
- Clinical office staff
Codes Discussed
Code Ranges Discussed
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