Transitional Care Management Worksheet

Tcm services are for new or established patients whose medical andor psychosocial problems require moderate or high complexity medical decision making mdm during transitions in care.

Transitional care management worksheet. Discussion with other health care providers. A federal government website managed and paid for by the us. Transitional care management services tcm cpt 99495 required elements. A fillable version of the aafp transitional care management worksheet.

Physician completes colored areas submit billing 30 days post discharge. Cms hhs websites cms global footer. After a hospitalization or other inpatient facility stay eg in a skilled nursing facility the patient may be dealing with a medical crisis new diagnosis or change in medication therapy. Transition care management tcm services 99495 99496 are billed 30 days after dischargefrom a facility the codes are billedwhen the patient is not present.

The new payment plan is intended to acknowledge that effective care transitions require care coordination and provide additional reimbursement to support these activities. Communication direct contact telephone electronic with the patient andor caregiver within 2 business days of discharge. Education for self management independent living and activities of daily living. It is not intended to replace published guidelines.

Centers for medicare medicaid services. 7500 security boulevard baltimore md 21244. Assessment and support of treatment regimen adherence. Transitional period and have started paying medical providers for coordinating medicare beneficiaries care transitions.

Transitional care management tcm addresses the hand off period between the inpatient and community setting. Medical decision making of at least moderate complexity during the service period. Staff completes remainder tcmjanuary 2013. Transitional care management services mln fact sheet page 3 of 8.

Starting in 2013 the physician fee schedule includes. Healthcare providers retain responsibility to submit complete and accurate documentation. You must furnish the required face to face visit under minimum direct supervision subject to applicable state law scope of practice and the medicare physician fee schedule pfs incident to rules and regulations.