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DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid ServiceNow products from the Medicare Learning Network (MAN) Transitional Care Management Services, Fact Sheet, ICN 908682,
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Transitional care management services involve the coordination and continuity of healthcare provided to a patient as they transition from one healthcare setting to another.
Healthcare providers, such as physicians or other qualified healthcare professionals, who provide transitional care management services are required to file.
Transitional care management services should be filled out by documenting the necessary information related to the patient's care during the transitional period.
The purpose of transitional care management services is to ensure a smooth transition for patients from one healthcare setting to another, ultimately improving healthcare outcomes and reducing readmission rates.
Information such as communication with the patient and caregivers, medication management, and follow-up care instructions must be reported on transitional care management services.
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