New reimbursement policy: Transitional Care Management - professional
Anthem Blue Cross and Blue Shield (Anthem) has added value to the Transitional Care Management definition to include discharge from the emergency room to help prevent future emergency room encounters or hospital admissions.
As of April 27, 2022, Anthem implemented a new professional reimbursement policy: Transitional Care Management. When a member requires a transition to a community setting, the Transitional Care Management period begins upon the member’s discharge and continues for 29 days.
For specific policy details, visit the reimbursement policy page at anthem.com provider website.
July 2022 Anthem Provider News - Ohio