dflieger
Networker
anyone out there do any services performed by nurse case managers?
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Wiki Case manager billing?
- Thread starter dflieger
- Start date
Pam Warren
True Blue
There are new codes in 2013 for Transitional Care managment and Complex Chronic Care Management (99495-99496 and 99487-99489 respectively) that can be done by RNs, incident-to the provider.
We're working on developing EHR templates to capture the documentation requirements, and in the meantime, we'll use a paper form. There are patient criteria and face-to-face criteria that need to be met, which are outlined in CPT.
There is also a G code soon to be released from CMS for the TCM service w/o face-to-face with a physician. Since the fee schedule and HCPCS aren't yet available, I don't have fees or work RVUs to provide, although it's been proposed that the code will hold about the same value as a 99213. Not sure about coverage guidelines, either. I wish CMS would have their stuff together way before January, but I guess that's too much to hope for.
Hope this helps.
We're working on developing EHR templates to capture the documentation requirements, and in the meantime, we'll use a paper form. There are patient criteria and face-to-face criteria that need to be met, which are outlined in CPT.
There is also a G code soon to be released from CMS for the TCM service w/o face-to-face with a physician. Since the fee schedule and HCPCS aren't yet available, I don't have fees or work RVUs to provide, although it's been proposed that the code will hold about the same value as a 99213. Not sure about coverage guidelines, either. I wish CMS would have their stuff together way before January, but I guess that's too much to hope for.
Hope this helps.