Helping Providers Bill for Transitional Care Management
GatherMed provides comprehensive support for healthcare providers to streamline the billing process for Transitional Care Management (TCM) services.
Chronic Care Management Codes
| RTM Code | Medicare Rate | Time Spent | Notes |
|---|---|---|---|
| 99495 | $175- $225 | N/A | Transitional care management services with moderate medical decision complexity. This includes communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge, medical decision making of at least moderate complexity during the service period, and a face-to-face visit within 14 calendar days of discharge. |
| 99496 | $230- $300 | N/A | Transitional care management services with high medical decision complexity. This includes communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge, medical decision making of high complexity during the service period, and a face-to-face visit within 7 calendar days of discharge. |
How GatherMed Helps Providers Bill for TCM?
Automated Data Collection
GatherMed’s platform automatically collects and organizes patient data from various RPM devices, ensuring that all necessary information is accurately captured and ready for billing.
Detailed Documentation
The platform generates detailed reports that include the duration and type of monitoring, interactions with patients, and the outcomes of the monitoring sessions. This comprehensive documentation supports the accurate billing of RPM services.
Billing Support
GatherMed provides guidance on the correct use of RPM billing codes, ensuring that providers use the appropriate codes for the services rendered.
The platform helps track time spent on patient monitoring and management to ensure that all billable activities are captured.
Compliance and Audit Readiness
GatherMed ensures that all RPM activities are documented in compliance with regulatory requirements. This includes maintaining audit-proof records that can be easily accessed and reviewed if needed.
The platform’s time-tracking feature helps providers maximize their revenue without adding to their workload, ensuring that all interactions and monitoring sessions are logged accurately.
Integration with EHR Systems
GatherMed integrates seamlessly with existing Electronic Health Record (EHR) systems, ensuring that patient data flows smoothly between systems. This integration simplifies the billing process and reduces administrative burdens.
Benefits of Using GatherMed for TCM Billing
Increased Revenue
By ensuring that all billable activities are accurately captured and documented, providers can maximize their reimbursement for RPM services.
Efficiency
Automated data collection and detailed documentation reduce the time and effort required for billing, allowing providers to focus more on patient care.
Accuracy
Comprehensive and precise documentation ensures that claims are submitted correctly, reducing the risk of claim denials and delays.
Compliance
GatherMed helps providers stay compliant with regulatory requirements, minimizing the risk of audits and penalties.
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