• Veronica Rivera, Linda V DeCherrie, and Audrey Chun.
• Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address: veronica.rivera@mssm.edu.
• Chest. 2018 Oct 1; 154 (4): 972-977.

AbstractPatients with advanced respiratory illness are often hospitalized, requiring close follow-up after discharge and also requiring care coordination outside of traditional face-to-face outpatient visits. Primary care providers and specialists often provide services outside of outpatient visits that have not been captured and reimbursed with traditional billing evaluation and management codes. Within the last 5 years, the Centers for Medicare & Medicaid added new codes to the Medicare Physician Fee Schedule that reimburse for care coordination services not paid for by traditional evaluation and management codes. Transitional care management includes the 30-day period following hospitalization in which a clinician is responsible for care of the patient postdischarge from the hospital. Chronic care management provides reimbursement for coordination of care for chronic conditions that is performed by any clinician and his or her staff on a monthly basis that is > 20 min in duration.Copyright © 2018 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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