Transitional Care Management
Getting Paid for What We Do Best
Transitional Care Management (TCM) addresses the handoff period between the inpatient and community setting. After a hospitalization, the patient commonly has experienced a medical crisis, new diagnosis, or change in medication therapy. Family physicians are often charged with managing their patients’ transitional care.
In 2013, CMS implemented TCM codes. Family physicians managing transitional care for patients must follow specific guidelines and requirements, and use appropriate CPT codes in order to get reimbursed for TCM services.
About the Webcast
Transitional Care Management: Getting Paid for What We Do Best
After completing this activity, you should be able to:
- Review CMS TCM requirements
- Identify how TCM can engage patients
- Assess financial and quality implications of TCM
- Recognize the importance of TCM in value-based payment
Estimated time required to complete the full webcast: 60 minutes
Original release date: October 25, 2017
Marc D. Price, DO, is a board-certified family physician and the owner of a progressive small group practice, Family Medicine of Malta, in Malta, NY. He has been active with the New York State Academy of Family Physicians (NYSAFP) and the AAFP since 2000, and is the current NYSAFP President-elect and Delegate to the AAFP, after having served in various other state academy roles such as vice president, treasurer, alternate delegate to the AAFP, and advocacy commission chair. He has served as the Chair of the AAFP Commission for Government Advocacy and is currently serving on the AAFP Commission on Quality and Practice. Dr. Price has obtained the title of Assistant Clinical Professor through Albany Medical College and enjoys promoting the practice of family medicine to students of all levels, residents, other health care professionals and his community. In his free time, he enjoys spending time with family and friends, riding his motorcycle, cooking, and slow and low barbecue.
The material presented here is being made available by the American Academy of Family Physicians for educational purposes only. Please note that medical information is constantly changing; the information contained in this activity was accurate at the time of publication. This material is not intended to represent the only, nor necessarily best, methods or procedures appropriate for the medical situations discussed. Rather, it is intended to present an approach, view, statement, or opinion of the faculty, which may be helpful to others who face similar situations.
The AAFP disclaims any and all liability for injury or other damages resulting to any individual using this material and for all claims that might arise out of the use of the techniques demonstrated therein by such individuals, whether these claims shall be asserted by a physician or any other person. Physicians may care to check specific details such as drug doses and contraindications, etc., in standard sources prior to clinical application. This material might contain recommendations/guidelines developed by other organizations. Please note that although these guidelines might be included, this does not necessarily imply the endorsement by the AAFP.