I understand that Medicare is encouraging Transitional Care management. Codes 99495, 99496. This is what the AOA has to say about it: The requirements of the CPT codes are:
99495, TCM: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within two business days of discharge; Medical decision-making of at least moderate complexity during the service period; face to face visit within 14 calendar days of discharge.
99496, TCM: Communication (direct contact, telephone, electronic) with patient and/or caregiver within two business days of discharge; Medical decision-making of high complexity during the service period, face to face visit within seven calendar days of discharge.
Does anyone have any other info about this? I'm wondering if you have to talk to the patient/caregiver within 2 days of discharge AND see the patient face to face.
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