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Application for Transition of Care Reed Form
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People also ask
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What qualifies as transition of care?
Support given to patients when they move from one phase of disease or treatment to another, such as from hospital care to home care. It involves helping patients and families with medical, practical, and emotional needs as they adjust to different levels and goals of care.
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What qualifies for a TCM visit?
Transitional Care Management (TCM) services address the hand-off period between the inpatient and community setting. After a hospitalization or other inpatient facility stay (e.g., in a skilled nursing facility), the patient may be dealing with a medical crisis, new diagnosis, or change in medication therapy.
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What documentation is needed for a TCM visit?
You must document the following information, at a minimum, in the beneficiary's medical record: • Date the beneficiary was discharged; • Date you made an interactive contact with the beneficiary and/or caregiver; • Date you furnished the face-to-face visit; and • The complexity of medical decision making (moderate or ...
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How long does Medicare pay for transitional care?
The health care provider who's managing your transition back into the community will work with you, your family, caregivers, and other providers to coordinate and manage your care for the first 30 days after you return home.
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