BHM Healthcare Solutions recently participated in Newsflash: CMS Now Reimbursing for Care Coordination webinar which was hosted by Dorland Health. The webinar featured information about the new transition codes which provide additional reimbursement
BHM Healthcare Solutions is a healthcare management consulting firm providing a full range of healthcare services, including: managed care consulting, strategic planning and organizational analysis, accreditation consulting, financial management of health care, physician advisor/peer review, and organizational development.
Cynthia Young is a Senior Consultant with BHM. Cynthia has years of healthcare administration, medical practice development, practice transition experience, and management experience. For the last 10 years, she has provided quality healthcare management consulting services to the medical community and assisted physicians, healthcare facilities and ancillary providers with developing and optimizing their practice efficiencies. Ms. Young's 12 years of primary source verification and credentialing experience, including TJC, NCQA, AAASC & AAAHC facilities, has enabled her to differentiate herself in the healthcare industry. Additionally, she has led successfully six TJC accreditation surveys, including Office-based Surgery, with each facility granted approval accreditation during the first survey.
Dorland Health recently hosted a webinar entitled Newsflash: CMS Now Reimbursing for Care Coordination Webinar. Cynthia Young was one of four panel experts who presented the advantages of the new TCM codes, which became effective January 1, 2013. Cynthia spoke from the perspective of the advantages to a physician's practice. Transitional Care Management Services (TCM) is the transition from an inpatient hospital setting (including acute hospital, rehabilitation hospital, long-term acute care hospital), partial hospital, observation status in a hospital, or skilled nursing facility, to the patient's community setting (home, domiciliary, rest home, or assisted living) in order to prevent re-admissions. They involve one office visit, plus care coordination, in the 30-day transition period when certain patients are discharged from an inpatient hospital or nursing facility to their home, community setting, or assisted living facility. The webinar explained the new codes, provided insight as to who can bill for the new codes, which patients are eligible, and when they should be billed. Care coordination has been an important aspect of healthcare, but up until January 1, 2013, these services were not eligible for reimbursement.