Wiki Transitional Care Management

rgrimes

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I am trying to figure out what can be counted toward the medical decision making for TCM. when a patient is discharged, their chronic illnesses are usually stable at that time due to the hospitalization. If there were severely uncontrolled before that, could we count that toward the higher level of MDM? What about risk? The risk seems lower at the time of discharge but due to the history of why they were hospitalized (i.e. severe non-compliance), could we code a higher risk?

I'm just trying to figure out when the high level of MDM could be used for patients that are just discharged from the hospital since they have had their meds regulated and the major issues taken care of for the time being.
 
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