• Confusion over transitional care management leads to more resources

    The new codes for transitional care management (TCM) are proving to be a source of ongoing confusion and frustration within the Medicare program. Physicians are having a hard time billing them, and Medicare administrative contractors are having difficulties processing related claims.

    In response, the Centers for Medicare and Medicaid Services recently released an educational document on the subject. It explains what TCM services include, who may furnish them, where they are applicable, and how to bill for them. The document also includes frequently asked questions (FAQs) on the topic.

    It is a nice complement to resources that the American Academy of Family Physicians has previously provided on the topic, including:

    •    another set of FAQs

    •    a worksheet designed to help family physicians log important information in the patient's transitional care summary

    •    a related article in the May-June issue of Family Practice Management

    •    previous blog posts on this subject

    Hopefully, among these resources, you will find what you need to successfully report these new codes.

    – Kent Moore, Senior Strategist for Physician Payment for the American Academy of Family Physicians

    Posted on Jul 31, 2013 by David Twiddy

    Disclaimer: The opinions and views expressed here are those of the authors and do not necessarily represent or reflect the opinions and views of the American Academy of Family Physicians. This blog is not intended to provide medical, financial, or legal advice. Some payers may not agree with the advice given. This is not a substitute for current CPT and ICD-9 manuals and payer policies. All comments are moderated and will be removed if they violate our Terms of Use.