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Transitional Care Management Billing Challenges and Solutions

Harold Gibson

Transitional care management (TCM) is concerned with providing continuing at least moderately complex care for a patient transitioning from a facility, such as a hospital or rehab, back into their community. While not limited to a particular “type” of provider, the codes were created for primary care. Below we will look at some of the more common billing and coding problems with TCM and offer solutions. The focus will be on CMS guidelines and their coding criteria for this important but often under-billed provider service.

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Topics: Transitional Care Management Billing

About this blog

A place for physicians and other healthcare stakeholders to share and discover information about everything related to running efficient medical practices.

Established in 2002 by a group of physicians, we are a national provider of medical billing services to group practices, clinics, and individual physicians. We also specialize in provider credentialing, payer contract reviews, and medical coding for a wide range of clients - from solo practitioners to multi-site, multi-specialty practices.

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