By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Health Works CollectiveHealth Works CollectiveHealth Works Collective
  • Health
    • Mental Health
    Health
    Healthcare organizations are operating on slimmer profit margins than ever. One report in August showed that they are even lower than the beginning of the…
    Show More
    Top News
    Balance Work & Life: Working Hours Tracker Can Prevent Burnout
    February 29, 2024
    car accident
    6 Tips for Faster Car Accident Recovery
    May 27, 2024
    The Impact of Virtual Healthcare Assistants on Clinical Practices
    August 1, 2024
    Latest News
    The Hidden Impact Of Stress On Your Body’s Alignment And Balance
    May 22, 2025
    Chewing Matters More Than You Think: Why Proper Chewing Supports Better Health
    May 22, 2025
    Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
    May 16, 2025
    Learn how to Renew your Medical Card in West Virginia
    May 16, 2025
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
    Policy and Law
    Get the latest updates about Insurance policies and Laws in the Healthcare industry for different geographical locations.
    Show More
    Top News
    Year-End Health Policy Musings
    December 25, 2011
    Engage With Grace
    November 22, 2012
    State of Virginia Attaches Amendment to Bill Requiring Women to Have an Ultrasound Before an Abortion That Requires Men to Have A Rectal Exam Before Obtaining A Prescription For Erectile Dysfunction Drugs
    January 31, 2012
    Latest News
    Building Smarter Care Teams: Aligning Roles, Structure, and Clinical Expertise
    May 18, 2025
    The Critical Role of Healthcare in Personal Injury Recovery: A Comprehensive Guide for Victims
    May 14, 2025
    The Backbone of Successful Trials: Clinical Data Management
    April 28, 2025
    Advancing Your Healthcare Career through Education and Specialization
    April 16, 2025
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: Transitional Care Management: Reimbursement of Non-Face-To-Face Services
Share
Notification Show More
Font ResizerAa
Health Works CollectiveHealth Works Collective
Font ResizerAa
Search
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Wellness > Home Health > Transitional Care Management: Reimbursement of Non-Face-To-Face Services
Home HealthPolicy & Law

Transitional Care Management: Reimbursement of Non-Face-To-Face Services

thielst
Last updated: March 5, 2013 9:30 am
thielst
Share
2 Min Read
Image
SHARE

Image

Image

As of January 1, 2013, the Medicare Physician Fee Schedule includes reimbursement for transitional care management (TCM) services from the hospital to the community setting.  The two relevant codes are 99495 and 99496 and apply to physicians and other qualified non-physician professionals.  The goal of this investment is to generate savings from a reduction in the number of re-admissions.

While this new approach to reimbursing for care is truly welcome, the inclusion of non-face-to-face care management services is an opportunity to leverage enterprise portals and social technologies to facilitate these processes.  The following services are required be provided unless they have been determined to not be medically necessary:

More Read

Physical Therapy
How Physical Therapy can be Done Virtually
Signs that online therapy is probably the best option for you
Time for FDA to Hire Some Pharma Marketers?
NYMIIS: Medical Imaging and Meaningful Use – It Is No Longer an Option
The 7 Preventative Care Appointments You Should Make This Year

Performed by a qualified professional:  obtain and review discharge information; review need for, or follow-up on, pending diagnostic tests and treatments; interact with other providers involved in patient’s care; educate patient, family, guardian, and/or caregiver; arrange for needed community resources.

Performed by clinical staff or case manager under direction of qualified professional:   communicate with home health agencies and other community services utilized by patient; educate patient and/or family/caretaker regarding self-management, independent living, and activities of daily living; assess and support treatment regimen adherence and medication management; identify available community and health resources; facilitate access to necessary care and services.

Now is the time for innovative providers to develop new processes and create strategies for leveraging technologies to support delivery of these important and reimbursable services.

For a detailed summary of the billing requirements for TCM, visit the PYA Healthcare Blog and CMS FAQs.

TAGGED:transitional care
Share This Article
Facebook Copy Link Print
Share

Stay Connected

1.5kFollowersLike
4.5kFollowersFollow
2.8kFollowersPin
136kSubscribersSubscribe

Latest News

stress impact your health
The Hidden Impact Of Stress On Your Body’s Alignment And Balance
Health Wellness
May 22, 2025
chewing better for health
Chewing Matters More Than You Think: Why Proper Chewing Supports Better Health
Dental health Health
May 22, 2025
Do You Grind Your Teeth at Night? Here’s How Night Guards and TMJ Treatments Can Help
Do You Grind Your Teeth at Night? Here’s How Night Guards and TMJ Treatments Can Help
Dental health
May 21, 2025
The Secret To A Confident Smile: Top Tips For Better Teeth
The Secret To A Confident Smile: Top Tips For Better Teeth
Dental health
May 21, 2025

You Might also Like

Obamacare and the changing healthcare landscape [Infographic]

February 23, 2016
Public HealthWellness

Suffering From Insomnia? Consider Prescription Options

June 29, 2019

Listening: The Most Vital Skill A Caregiver Can Have

February 2, 2012
medical education
Medical EducationPolicy & Law

Top 6 Essentials To Survive Medical School

November 3, 2021
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2025 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?