Quiz: Do you know your TCM codes?

How well do you know your Transitional Care Management codes at your practice? Take our quiz and find out. 

Answer: C. The 30-day period for the TCM service begins on the day of discharge and continues for the next 29 days. The reported date of service should be the 30th day.

Answer: D. Medicare will pay only the first eligible claim submitted during the 30-day period that begins with the day of discharge. Other practitioners may continue to report other reasonable and necessary services, including other evaluation and management (E/M) services, to patients during those 30 days.

Answer: B. The Centers for Medicare & Medicaid Services (CMS) has established both facility and non-facility payment for TCM services. Practitioners should report TCM services with the place of service appropriate for the face-to-face visit.

Answer: A. In the scenario described, the practitioner must communicate with the patient by the end of the day on Tuesday, the second business day following the day of discharge.

Answer: A. There are two TCM codes: 99495, requiring moderate complexity of MDM and 99496, requiring high complexity MDM.

Answer: B. For 99496, the patient must be seen within 7 calendar days of discharge.

Thanks for taking our quiz! Don't forget to check out our other online quizzes here. Good luck! 

Have a coding question? Send it to us at medec@ubm.com.