CCEP Lesson 9 Module 2.d Homework – Transitional Care Management Services 99495-99496

What three elements are required for TCM coding to be supported:

An auditor reviews documentation for a TCM service reported as 99496. Documentation includes immediate direct communication, a moderate level of medical decision making and a face to face visit that occurred five days after discharge. What CPT code did the auditor find the documentation to support?

Select all the elements that clinical staff can provided under direct supervision:

Select all the elements that physicians or QHPs should provided:

A physician documents transitional care management services provided to a patient recently discharged from the inpatient hospital. Direct contact with the patient and family is well noted by both the clinician and their clinical staff The day after discharge and the clinician provides a face to face visit two weeks later. Code the service: