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CODING corner mdm for tcm, the provider should consider all of the tcm-related services performed during the 30-day period. note that tcm requires mdm of at least moderate level. if the mdm is straightforward or low, the provider should not report a tcm code. What Are the Components of TCM? cms in its tcm fact sheet lists the following components of tcm: • an interactive contact • certain non-face-to-face services • a face-to-face visit first, the provider must make “interactive contact” with the patient within two business days of discharge. for example, if the patient is discharged late in the day on Wednesday, the provider must make contact by the end of the day on friday. the contact may be by telephone, email, or face-to-face. according to the cms fact sheet, an interactive contact requires “direct exchange of information and appropriate medical direction by clinical staff with the beneficiary and/or caregiver.” for example, leaving a message on the patient’s answering machine is not considered an interactive contact, nor is sending an email without receiving a response. cms states that certain, non-face-to-face services must be furnished to the patient unless the provider determines that they are not medically indicated. some of these services, such as review of discharge summary and follow-up on pending diagnostic tests, should be performed by the physician or nPP. other services, like providing education to support selfmanagement and activities of daily living, may be performed by licensed clinical staff working under the direction of the physician or nPP. Please see the cms fact sheet for a complete listing of the services in each category. there is a link to the fact sheet in the “resources” section at the end of this article. the third component of tcm is a face-to-face visit between the patient and the physician or nPP. this visit is included in the tcm code and should not be reported separately. the face-to-face visit must occur within either seven days (code 99496) or 14 days (99295) following discharge. note that CHANNELS MULTI-CHANNEL DATA COMMUNICATIONS PATIENT PORTAL NT AL MULTI-CHANNEL COMMUNICATIONS INTEGRATED CHANNELS CHANNELS ANALYTICS INTEGRATED CHANNELS MULTI-C COMMU DATA ANALYTICS DATA ANALYTICS DATDYNAMIC ANALYTI MULTI-CHANNEL COMMUNICATIONS MUL the journal of the healthcare billing and management association 35 COLOR DATA ANALYTICS DYNAMIC COLOR PATIENT PORTAL PAYMENT INTEGRATED CHANNELS DATA ANALYTICS DYNAMIC COLOR PATIENT PORTAL PAYMENT MULTI-CHANNEL COMMUNICATIONS PAYMENT DYNA COL PATIENT PORTAL COM Patient Centered. Response Driven. Communications and payment solutions to enhance the patient experience. 740-763-7008 rcminfo@revspringinc.com revspringinc.com


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