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transitional care management
CMS allows for reimbursement of non-face-to-face transitional care services provided patients transition from an inpatient setting back into the community.
transitional care services require:
- communication (direct contact, telephone, electronic) with patient or caregiver within 2 business days of discharge
- medical decision-making of moderate or high complexity during the service period
- a face-to-face visit within 7 or 14 calendar days of discharge
- CPT codes 99495 or 99496
Related
transition of care; health care transition
References
- Geriatric Review Syllabus, 10th edition (GRS10)
Harper GM, Lyons WL, Potter JF (eds)
American Geriatrics Society, 2019