tci Part B Insider - 2013 Issue 21

Transitional Care Management: 4 CMS-Approved Tips Keep Your TCM Income Flowing

Hint: These codes apply to both new and established patients. Now that you’ve had a few months to adjust to the new transitional care management (TCM) codes, ensure that you’re reporting them correctly to Medicare. The latest advice came from a recent CMS Rural Health Open Door Forum call, which offered the following advice. Starting point: CPT® 2013 includes two new TCM codes: 99495 – Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge; medical decision making of at least moderate...

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