Understanding the CPT billing codes for Transitional Care Management (TCM) will provide you with a better idea of what is expected, both by the patient and by Medicare.

Value-based care requires providers to meet specific quality performance metrics. Failure to do so can negatively impact financial reimbursements and disappoint patient expectations. But even with these penalties, some organizations struggle to adopt this approach to primary care, as the course to do so isn't always straightforward.

Reimbursement rates for Transitional Care Management (TCM) are tied to the program’s Current Procedural Terminology (CPT) codes. These codes help categorize and specify billing rules and requirements for the procedures, treatments, and care services related to TCM.

Implementing value-based care can help providers improve patient health and reduce care costs, but it has introduced new, overwhelming challenges to physician practices.

Learn everything you need to know about the 2022 CPT codes, billing requirements, and reimbursements for Transitional Care Management (TCM), so you can properly bill for this program and maximize your revenue.

Medical reimbursements are tied to Current Procedural Terminology (CPT) codes. They categorize and specify billing rates and rules for procedures, treatments, and care services.

How do you realize the maximum potential of a Transitional Care Management (TCM) program?