The following is a review of the requirements for using the new Transition of Care Management Codes (TCM) with a review of the process development, which SETMA has done to make it possible for SETMA providers to respond to this opportunity for enhanced reimbursement with clarity and accuracy.
In the February 2013 issue of Health Affairs, an article appeared titled, “Patient and Family Engagement: A Framework For Understanding The Elements And Developing Interventions and Policies.” This article provides significant insight into changing roles of patients and providers in the “new structures” of healthcare delivery, such as patient-centered medical home, accountable care organizations and others.
Contained within Abraham Lincoln’s famous “House Divided Speech,” delivered to the Republican Convention on April 16, 1856, is the imperative for data analytics and performance auditing by healthcare providers today. Lincoln said, “If we could first know where we are, and whither we are tending, we could better judge what to do, and how to do it.”
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