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tcm security | tcm full form | The Basics of Acupuncture and TCM Billing

There are three basic components of a TCM visit. The practitioner will ask about your health history and perform a physical examination. They will examine your skin, tongue, and hair, as well as listen to your voice to evaluate your shen (energy). Once they have determined that you have a TCM condition, they will attempt to correct the imbalances with a combination of therapies. This is often done through a face-to-face visit.

The acute care provider or clinical staff should educate patients about TCM prior to discharge. The patient should be informed that a TCM visit will be scheduled within two business days of discharge. Many organizations will schedule the face-to-face visit prior to discharge. Medicare and Medicaid will cover TCM services, but there are deductibles and co-insurances. The healthcare professional responsible for billing TCM services may only bill the beneficiary once during a TCM period.

RHCs and FQHCs can bill for the face-to-face visit component of TCM, but they cannot bill for both TCM and CCM services. They can bill for the face-to-face visits, but they cannot bill for TCM on the same day as an existing medical service. They cannot bill for both CCM and TCM together. However, if both services are provided on the same day, the RHC or FQHC can charge the patient for both.

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