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While there is a lot of literature written about the benefits of a transition of care management visit (TCM) for patients, practices, and ACOs, why aren’t more providers billing for these visits? Unfortunately, there are a number of challenges related to completing a successful TCM. Let’s explore the Top 5 challenges, followed by some key solutions to help address this highly beneficial visit.
- The physician is not notified, or not notified in a timely manner, that their patient was discharged from the hospital or skilled nursing facility.While you may have the best intentions to complete the TCM visit for your patients, your practice is unable to do so if you’re unaware that the patient has recently been discharged from the hospital or SNF. While an Admit, Discharge, and Transfer (ADT) feed may help you to become more aware of the hospital discharges, and capture a large majority of the patients, you may still run into issues if notifications are delayed. There’s also the possibility that the facility from which your patient has been discharged isn’t connected to a state-wide Health Information Exchange (HIE). There are a few things that you can do to mitigate these issues…