Transitional Care Management and Complex Care Coordination Codes

Duration: 60 Minutes
Instructor: Nancy Enos
Webinar Id: 800222


One Attendee


This session will discuss the code ranges for Transitional Care Management and Complex Care Coordination Codes, choosing the correct level within each range, what practitioners may provide the services, and the documentation requirements for billing the codes.

Why should you attend: Clinicians, EMR staff, coders and billers in outpatient settings. Medicare has expanded coverage of transitional care management and complex care coordination services. Many practices have not started using these codes due to a lack of understanding of the documentation requirements and the selection of codes in these 2 new code ranges introduced in January 2013.

Don't miss the opportunity to obtain reimbursement for the time your physicians and staff spend on patients who require medication reconciliation, orders and referrals to community agencies and navigation through their transition from inpatient facilities to home.

Areas Covered in the Session:

  • Documentation Requirements
  • Frequency Limitations
  • Moderate versus High Complexity

Who Will Benefit:
  • Physicians
  • Nurse Practitioners
  • Physician Assistants
  • Coders
  • Billing Staff

Educational Objectives(S)
Upon completion of this activity, participants will be able to:
  • Discuss code ranges for Transitional Care Management and Complex Care Coordination Codes and the documentation required.

CME Credit Statement
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of CFMC and MentorHealth. CFMC is accredited by the ACCME to provide continuing medical education for physicians.

CFMC designates this educational activity for a maximum of 1 AMA PRA Category 1 Creditâ„¢. Physicians should only claim credit commensurate with the extent of their participation in the activity.

CNE Credit Statement
CFMC is an approved provider of continuing nursing education by the California Board of Registered Nurses, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. Provider approved by California Board of Registered Nursing, Provider # 16031 for 1 contact hour.

Other Healthcare Professionals Credit Statement
This educational activity has been planned and implemented following the administrative and educational design criteria required for certification of health care professions continuing education credits. Registrants attending this activity may submit their certificate along with a copy of the course content to their professional organizations or state licensing agencies for recognition for 1 hour.

Disclosure Statement
It is the policy of CFMC and MentorHealth that the faculty discloses real or apparent conflicts of interest relating to the topics of the educational activity. All members of the faculty and planning team have nothing to disclose nor do they have any vested interests or affiliations

Obtaining Certificate of Credit

Colorado Foundation for Medical Care (CFMC) hosts an online activity evaluation system, certificate and outcomes measurement process. Following the activity, you must link to CFMC's online site (link below) to complete the evaluation form in order to receive your certificate of credit. Once the evaluation form is complete and submitted, you will be automatically sent a copy of your certificate via email. Please note, participants must attend the entire activity to receive all types of credit. Continuing Education evaluation and request for certificates will be accepted up to 60 days post activity date. CFMC will keep a record of attendance on file for 6 years.

Speaker Profile
Nancy Enos FACMPE, CPMA, CEMC, CPC-I, CPC is an Independent consultant and coding instructor. Nancy Enos has 35 years of experience in the practice management field. Nancy joined Ingenix (formerly LighthouseMD) in 1995 and served as the Director of Physician Services until July 2008. Expertise As an Approved PMCC Instructor of the American Academy of Professional Coders, Nancy provides coding certification courses, outsourced coding, chart auditing, consultative services and seminars in CPT and ICD-9 Coding, evaluation and management coding and documentation, and compliance planning.

Nancy frequently speaks on coding, compliance and reimbursement issues to audiences from the provider community specializing in primary care and surgical specialties. Affiliations and Credentials: Nancy is a Fellow of the American College of Medical Practice Executives. She is on the Section Steering Committee of MGMA and is a Past President of MA/RI MGMA. She is the founding President of the RI Chapter, AAPC. Specialty Credentials:AAPC Approved ICD-10 Instructor, June 2013. Certified Professional Medical Auditor (CPMA) AAPC December 2010. Certified Evaluation and Management Coder (CEMC) AAPC November 2008. Experience in auditing E/M and operative reports for a variety of specialties for hundreds of practices across the country. Approved Instructor, AAPC December 2002. For the past 11 years, Nancy has taught Professional Medical Coding Curriculum to CPC candidates. Featured speaker, MGMA Annual Conference for the past 10 years. Fellow in the American College of Medical Practice Executives (FACMPE) July 2003. Massachusetts/Rhode Island MGMA President, 2007-2008. Certified Professional Coder (CPC) June 1998.

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