The following is an excerpt from the CMS publication Frequently Asked Questions about Billing the Medicare Physician Fee Schedule for Transitional Care Management Services

During the 30 day period of TCM, can other medically necessary billable services be reported? What about chronic care management services?

Other reasonable and necessary Medicare services may be reported during the 30 day period, with the exception of those services that cannot be reported according to CPT guidance and Medicare HCPCS codes G0181 and G0182. CCM could be billed to the MPFS during the same calendar month as TCM only if the TCM service period ends before the end of a given calendar month, at least 20 minutes of qualifying CCM services are subsequently provided during that month, and all other CCM billing requirements are met. However we expect that the majority of the time, CCM and TCM will not be billed during the same calendar month.

At Dulcian Health, we're working to improve our CCM software to provide an easier and more convenient way of ensuring compliance with these TCM regulations.

Until then, if you have any patients who have received 20+ minutes of CCM care in a current calendar month but do not qualify for CCM billing due to TCM restrictions, you must email the list of patient IDs to [email protected].

Your list must be received by the close of business on the last day of each calendar month in order for us to exclude these patients from our month-end billing process.

Thank you for your business.

Sincerely,

Dulcian Health Support