How well do you know how to utilize Transitional Care Management codes at your practice? Take our quiz and find out.
How well do you know your Transitional Care Management codes at your practice? Take our quiz and find out.
Answer: C. The 30-day period for the TCM service begins on the day of discharge and continues for the next 29 days. The reported date of service should be the 30th day.
Answer: D. Medicare will pay only the first eligible claim submitted during the 30-day period that begins with the day of discharge. Other practitioners may continue to report other reasonable and necessary services, including other evaluation and management (E/M) services, to patients during those 30 days.
Answer: B. The Centers for Medicare & Medicaid Services (CMS) has established both facility and non-facility payment for TCM services. Practitioners should report TCM services with the place of service appropriate for the face-to-face visit.
Answer: A. In the scenario described, the practitioner must communicate with the patient by the end of the day on Tuesday, the second business day following the day of discharge.
Answer: A. There are two TCM codes: 99495, requiring moderate complexity of MDM and 99496, requiring high complexity MDM.
Answer: B. For 99496, the patient must be seen within 7 calendar days of discharge.
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