Has anyone verified with CMS if 97/95 E&M guidelines or 2021 OP E&M guidelines are used when determining MDM for TCM?
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Wiki 2022 TCM
- Thread starter alaraeh@yahoo.com
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jkyles
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This is an excellent question that nagged at me until I had to hunt down the answer 
which is: The 95/97 guidelines based on pp. 10-11 of this MLN manual. https://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnproducts/downloads/transitional-care-management-services-fact-sheet-icn908628.pdf.
CMS updated the manual July 2021 so the agency had a chance to switch to the office guidelines but passed. Maybe they will for 2023 to line up with the next E/M update.
which is: The 95/97 guidelines based on pp. 10-11 of this MLN manual. https://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnproducts/downloads/transitional-care-management-services-fact-sheet-icn908628.pdf.CMS updated the manual July 2021 so the agency had a chance to switch to the office guidelines but passed. Maybe they will for 2023 to line up with the next E/M update.