{"id":32163,"date":"2026-09-17T18:05:17","date_gmt":"2026-09-17T12:35:17","guid":{"rendered":"https:\/\/www.medicalbillersandcoders.com\/blog\/?post_type=wpseo_locations&#038;p=32163"},"modified":"2026-09-17T19:09:06","modified_gmt":"2026-09-17T13:39:06","slug":"is-your-tcm-billing-built-for-mas-rules","status":"publish","type":"wpseo_locations","link":"https:\/\/www.medicalbillersandcoders.com\/blog\/locations\/is-your-tcm-billing-built-for-mas-rules\/","title":{"rendered":"With 63.7% of Michigan on Medicare Advantage, Is Your TCM Billing Built for MA&#8217;s Rules?"},"content":{"rendered":"<p dir=\"ltr\">Michigan <strong>TCM billing<\/strong> is not built for Medicare Advantage rules if it still runs on fee-for-service assumptions. At 63.7% MA penetration, the highest of any US state, most Michigan Medicare patients have their <strong>TCM billing<\/strong> claims adjudicated by a private MA carrier, not by the state&#8217;s fee-for-service Medicare Administrative Contractor. Getting this right starts with a <a href=\"https:\/\/www.medicalbillersandcoders.com\/medical-billing-services.aspx\">medical billing services<\/a> partner built around MA-specific rules rather than fee-for-service defaults.<\/p>\r\n<h2 dir=\"ltr\">Key Facts on Michigan TCM Billing<\/h2>\r\n<ul dir=\"ltr\">\r\n<li>Michigan has the highest Medicare Advantage penetration in the US at 63.7%, per the CMS August 2026 State\/County Penetration report.<\/li>\r\n<li>Roughly 1.47 million of Michigan&#8217;s 2.32 million Medicare beneficiaries are enrolled in an MA plan rather than Original Medicare.<\/li>\r\n<li>Michigan fee-for-service claims, including <strong>TCM billing<\/strong> claims, are processed under Jurisdiction 8 by WPS Government Health Administrators.<\/li>\r\n<li>Major Michigan MA carriers handling <strong>TCM billing<\/strong> directly include Blue Cross Blue Shield of Michigan, Priority Health, McLaren Health Plan, HAP, Humana, UnitedHealthcare, and Molina Healthcare of Michigan.<\/li>\r\n<\/ul>\r\n<h2 dir=\"ltr\">Michigan Is the Highest MA Penetration State in the Country<\/h2>\r\n<p dir=\"ltr\">Michigan led the nation in Medicare Advantage enrollment as of the August 2026 CMS State\/County Penetration report, with 63.7% of the state&#8217;s Medicare beneficiaries enrolled in an MA plan, ahead of Alabama at 61.6% and well above the 55% national average. Roughly 1.47 million of Michigan&#8217;s 2.32 million Medicare beneficiaries now carry an MA card instead of Original Medicare.<\/p>\r\n<p dir=\"ltr\">That flips the default for any primary care group building a <strong>TCM billing<\/strong> workflow. National TCM guidance assumes fee-for-service Medicare as the baseline. In Michigan, fee-for-service is now the minority case.<\/p>\r\n<h2 dir=\"ltr\">Why Fee-for-Service Rules No Longer Cover Most of Your TCM Billing<\/h2>\r\n<p dir=\"ltr\">Michigan&#8217;s Medicare fee-for-service claims, including the shrinking share still on Original Medicare, are processed under Jurisdiction 8 by WPS Government Health Administrators, the Medicare Administrative Contractor for Indiana and Michigan. Getting the <a href=\"https:\/\/www.medicalbillersandcoders.com\/blog\/why-do-healthcare-providers-choose-mbc-for-faster-claim-submission\/\">claim submission<\/a> process right at this stage prevents downstream denials on both fee-for-service and MA claims. WPS publishes the Local Coverage Determinations and documentation standards that most Michigan <strong>TCM billing<\/strong> teams still train against.<\/p>\r\n<p dir=\"ltr\">But for the 63.7% of beneficiaries on Medicare Advantage, TCM claims never touch WPS or Jurisdiction 8 at all. They go directly to the beneficiary&#8217;s MA carrier, most commonly Blue Cross Blue Shield of Michigan, Priority Health, McLaren Health Plan, HAP, Humana, UnitedHealthcare, or Molina Healthcare of Michigan, each of which applies its own referral protocols, timely filing windows, and encounter reporting requirements on top of the CMS-mandated TCM coverage baseline.<\/p>\r\n<h2 dir=\"ltr\">Three Places Michigan Practices Get TCM Billing Wrong Under MA<\/h2>\r\n<p dir=\"ltr\"><strong>Timely filing windows are shorter and payer-specific.<\/strong> WPS fee-for-service claims typically allow up to 12 months for filing. Several Michigan MA carriers enforce <a href=\"https:\/\/www.medicalbillersandcoders.com\/blog\/transitional-care-management-codes\/\">90-day or 120-day filing windows<\/a>, and <strong>TCM billing<\/strong> submitted on a fee-for-service timeline can miss an MA plan&#8217;s deadline entirely.<\/p>\r\n<p dir=\"ltr\"><strong>Referral and network rules apply where FFS has none.<\/strong> Original Medicare doesn&#8217;t require a referral for the TCM face-to-face visit. Several Michigan MA plans, particularly HMO products from Priority Health and Blue Care Network, require an in-network referral on file before the visit qualifies for payment. Missing that referral is one of the most common triggers for <a href=\"https:\/\/www.medicalbillersandcoders.com\/revenue-management-services.aspx?DivId=denial-management-appeals\">denial management<\/a> teams to step in after the fact.<\/p>\r\n<p dir=\"ltr\"><strong>Risk adjustment stakes get missed.<\/strong> Under MA, the TCM visit is often the first guaranteed post-discharge encounter and a key opportunity to recapture HCC-relevant diagnoses for the plan year. A practice treating <strong>TCM billing<\/strong> as a flat CPT reimbursement, without coordinating with its MA risk adjustment workflow, leaves that recapture value uncaptured every time.<\/p>\r\n<h2 dir=\"ltr\">What This Means for a Multi-Provider Michigan Primary Care Group<\/h2>\r\n<p dir=\"ltr\">For a 15-provider <a href=\"https:\/\/www.medicalbillersandcoders.com\/0-michigan-primarycare-medical-billing.html\">primary care group<\/a> in Southeast Michigan with a typical MA-heavy payer mix, building <strong>TCM billing<\/strong> workflows around WPS fee-for-service rules alone means the majority of discharges are being processed against the wrong playbook. A <a href=\"https:\/\/www.medicalbillersandcoders.com\/0-michigan-primarycare-medical-billing.html\">primary care billing<\/a> partner that already maps each MA carrier&#8217;s rules avoids that mismatch. Referral requirements get missed, filing deadlines pass before claims are reconciled against each plan&#8217;s specific window, and HCC capture opportunities tied to the TCM encounter go undocumented.<\/p>\r\n<p dir=\"ltr\"><em>Note: any practice-specific dollar impact for Michigan MA-related TCM denials or missed HCC recapture requires Sampada&#8217;s finance sign-off before publishing, consistent with standard MBC sourcing rules.<\/em><\/p>\r\n<h2 dir=\"ltr\">Michigan Medicare Landscape at a Glance<\/h2>\r\n<div dir=\"ltr\">\r\n<table>\r\n<thead>\r\n<tr>\r\n<th scope=\"col\">Metric<\/th>\r\n<th scope=\"col\">Michigan<\/th>\r\n<th scope=\"col\">National<\/th>\r\n<\/tr>\r\n<\/thead>\r\n<tbody>\r\n<tr>\r\n<td>Medicare Advantage penetration<\/td>\r\n<td>63.7%<\/td>\r\n<td>55%<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Medicare beneficiaries on MA<\/td>\r\n<td>Approximately 1.47 million of 2.32 million<\/td>\r\n<td>Approximately 34 million nationally<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Fee-for-service MAC jurisdiction<\/td>\r\n<td>Jurisdiction 8, WPS Government Health Administrators<\/td>\r\n<td>Varies by state<\/td>\r\n<\/tr>\r\n<tr>\r\n<td>Major Michigan MA carriers<\/td>\r\n<td>Blue Cross Blue Shield of Michigan, Priority Health, McLaren Health Plan, HAP, Humana, UnitedHealthcare, Molina<\/td>\r\n<td>Varies by state<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/div>\r\n<h2 dir=\"ltr\">FFS TCM Billing vs. Michigan MA Plan TCM Billing<\/h2>\r\n<div dir=\"ltr\">\r\n<table style=\"width: 97.1763%;\">\r\n<thead>\r\n<tr>\r\n<th style=\"width: 24.2068%;\" scope=\"col\">Requirement<\/th>\r\n<th style=\"width: 36.7803%;\" scope=\"col\">Fee-for-Service (WPS, Jurisdiction 8)<\/th>\r\n<th style=\"width: 94.4771%;\" scope=\"col\">Typical Michigan MA Plan<\/th>\r\n<\/tr>\r\n<\/thead>\r\n<tbody>\r\n<tr>\r\n<td style=\"width: 24.2068%;\">Referral for face-to-face visit<\/td>\r\n<td style=\"width: 36.7803%;\">Not required<\/td>\r\n<td style=\"width: 94.4771%;\">Often required for HMO products<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"width: 24.2068%;\">Timely filing window<\/td>\r\n<td style=\"width: 36.7803%;\">Up to 12 months<\/td>\r\n<td style=\"width: 94.4771%;\">Commonly 90 to 120 days, payer-specific<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"width: 24.2068%;\">Claims adjudication<\/td>\r\n<td style=\"width: 36.7803%;\">WPS, uniform LCDs<\/td>\r\n<td style=\"width: 94.4771%;\">Individual carrier, plan-specific policy<\/td>\r\n<\/tr>\r\n<tr>\r\n<td style=\"width: 24.2068%;\">Risk adjustment tie-in<\/td>\r\n<td style=\"width: 36.7803%;\">Not applicable<\/td>\r\n<td style=\"width: 94.4771%;\">HCC recapture opportunity tied to encounter<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/div>\r\n<h2 dir=\"ltr\">Key Takeaways<\/h2>\r\n<ul dir=\"ltr\">\r\n<li>Michigan has the highest Medicare Advantage penetration in the country at 63.7%, meaning most <strong>TCM billing<\/strong> in the state is governed by individual MA plan rules, not fee-for-service Medicare.<\/li>\r\n<li>Jurisdiction 8&#8217;s WPS Local Coverage Determinations still apply, but only to the minority of Michigan beneficiaries remaining on Original Medicare.<\/li>\r\n<li>Referral requirements, shorter timely filing windows, and HCC risk adjustment stakes are MA-specific factors that a fee-for-service-only <strong>TCM billing<\/strong> workflow will miss.<\/li>\r\n<li>Michigan&#8217;s major MA carriers, including Blue Cross Blue Shield of Michigan, Priority Health, and McLaren Health Plan, each apply distinct administrative rules on top of the CMS coverage baseline.<\/li>\r\n<\/ul>\r\n<h2 dir=\"ltr\">MBC Spotlight<\/h2>\r\n<p dir=\"ltr\">MBC&#8217;s Michigan primary care engagements are built around a payer-mix-aware <strong>TCM billing<\/strong> workflow that separates fee-for-service claims routed through Jurisdiction 8 from MA plan-specific referral, filing, and risk adjustment requirements for each of Michigan&#8217;s major carriers. Clients on this framework maintain a 97% clean claim rate and a 30% reduction in Days in AR within 90 days, backed by 25+ years of specialty-specific RCM experience. Every engagement starts with a transparent <a href=\"https:\/\/www.medicalbillersandcoders.com\/pricing\">medical billing pricing structure<\/a> tailored to your specialty and payer mix.<\/p>\r\n<p dir=\"ltr\">MBC&#8217;s broader <a href=\"https:\/\/www.medicalbillersandcoders.com\/revenue-management-services.aspx\">RCM services<\/a> extend this same payer-mix-aware approach across the full revenue cycle, not just TCM claims.<\/p>\r\n<p dir=\"ltr\"><a href=\"https:\/\/www.medicalbillersandcoders.com\/contact-us.aspx?utm_source=contact-us-sab&amp;utm_medium=submission%28sab%29&amp;utm_campaign=submission%28sab%29&amp;utm_id=contact-us-sab&amp;utm_term=16%2F09%2F2026SAB&amp;utm_content=SAB\"><strong>Request a Michigan Revenue Diagnostic<\/strong><\/a> to see how your current TCM billing workflow holds up against your actual MA payer mix.<\/p>\r\n<p dir=\"ltr\"><em>Source: <a href=\"https:\/\/www.cms.gov\/data-research\/statistics-trends-and-reports\/medicare-advantagepart-d-contract-and-enrollment-data\/ma-state\/county-penetration\/ma-state-county-penetration-2026-08\" target=\"_blank\" rel=\"noopener noreferrer\">CMS Medicare Advantage State\/County Penetration Report, August 2026<\/a><\/em><\/p>\r\n\r\n<h2 id=\"h-faqs\" class=\"wp-block-heading\">FAQs<\/h2>\r\n\r\n\r\n\r\n<div class=\"schema-faq wp-block-yoast-faq-block\">\r\n<div id=\"faq-question-1789647304844\" class=\"schema-faq-section\"><strong class=\"schema-faq-question\">Does Medicare Advantage have to cover TCM billing the same way Original Medicare does?<\/strong>\r\n<p class=\"schema-faq-answer\">Yes. CMS requires MA plans to cover services at least as generously as Original Medicare, so TCM coverage itself is not optional. What varies by plan is the administrative layer: referral rules, timely filing windows, and documentation format for claims submission.<\/p>\r\n<\/div>\r\n<div id=\"faq-question-1789647304845\" class=\"schema-faq-section\"><strong class=\"schema-faq-question\">Which Medicare Administrative Contractor processes Michigan&#8217;s fee-for-service TCM billing?<\/strong>\r\n<p class=\"schema-faq-answer\">WPS Government Health Administrators processes Michigan&#8217;s Part A and Part B fee-for-service claims under Jurisdiction 8, which also covers Indiana. This applies only to beneficiaries on Original Medicare, not the 63.7% enrolled in an MA plan.<\/p>\r\n<\/div>\r\n<div id=\"faq-question-1789647304846\" class=\"schema-faq-section\"><strong class=\"schema-faq-question\">Why does a referral requirement matter for TCM billing if CMS doesn&#8217;t require one?<\/strong>\r\n<p class=\"schema-faq-answer\">CMS sets the coverage floor, not the administrative process. Individual MA plans, particularly HMO products, can require an in-network referral before the TCM face-to-face visit is payable, and a claim without that referral on file can be denied regardless of CMS&#8217;s underlying coverage rule.<\/p>\r\n<\/div>\r\n<div id=\"faq-question-1789647304847\" class=\"schema-faq-section\"><strong class=\"schema-faq-question\">How does risk adjustment connect to TCM billing in a high-MA state like Michigan?<\/strong>\r\n<p class=\"schema-faq-answer\">The TCM visit is frequently the first confirmed post-discharge encounter for an MA-enrolled patient, making it a key opportunity to document HCC-relevant diagnoses for that plan year. Practices that treat TCM billing purely as a CPT code miss this recapture opportunity.<\/p>\r\n<\/div>\r\n<div id=\"faq-question-1789647304848\" class=\"schema-faq-section\"><strong class=\"schema-faq-question\">Do timely filing rules differ across Michigan&#8217;s major MA carriers for TCM billing?<\/strong>\r\n<p class=\"schema-faq-answer\">Yes. Filing windows vary by carrier and by specific plan product, commonly falling in the 90- to 120-day range for Michigan MA plans, well short of the 12-month window fee-for-service claims typically allow.<\/p>\r\n<div id=\"wpseo_location-30456\" class=\"wpseo-location\"><h3><span class=\"wpseo-business-name\">Who Are the Top 10 RCM Companies for Family Practice in Michigan 2026?<\/span><\/h3><div class=\"wpseo-address-wrapper\"><\/div><span class=\"wpseo-phone\">Phone: <a href=\"tel:8883573226\" class=\"tel\"><span>888-357-3226<\/span><\/a><\/span><br\/><span class=\"wpseo-fax\">Fax: <span class=\"tel\">888-316-4566<\/span><\/span><br\/><span class=\"wpseo-email\">Email: <a href=\"mailto:sa&#108;&#101;s&#064;&#109;&#101;&#100;&#105;c&#097;lbil&#108;e&#114;sa&#110;&#100;coders.&#099;&#111;m\">&#115;a&#108;&#101;&#115;&#64;med&#105;c&#97;&#108;&#98;ille&#114;&#115;&#97;&#110;&#100;&#99;&#111;d&#101;r&#115;&#46;&#99;&#111;m<\/a><\/span><br\/><\/div>\r\n<\/div>\r\n<\/div>\r\n","protected":false},"excerpt":{"rendered":"<p>Michigan TCM billing is not built for Medicare Advantage rules if it still runs on fee-for-service assumptions. At 63.7% MA penetration, the highest of any US state, most Michigan Medicare patients have their TCM billing claims adjudicated by a private MA carrier, not by the state&#8217;s fee-for-service Medicare Administrative Contractor. Getting this right starts with [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":32165,"menu_order":0,"template":"","meta":{"footnotes":""},"wpseo_locations_category":[6249],"class_list":["post-32163","wpseo_locations","type-wpseo_locations","status-publish","has-post-thumbnail","hentry","wpseo_locations_category-family-practice-billing-services-in-michigan"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.1 (Yoast SEO v28.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Is Your TCM Billing Built for MA&#039;s Rules?<\/title>\n<meta name=\"description\" content=\"Learn about TCM billing processes in Michigan, where Medicare Advantage penetration impacts claims and reimbursements significantly.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.medicalbillersandcoders.com\/blog\/locations\/is-your-tcm-billing-built-for-mas-rules\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"With 63.7% of Michigan on Medicare Advantage, Is Your TCM Billing Built for MA&#039;s Rules?\" \/>\n<meta property=\"og:description\" content=\"Learn about TCM billing processes in Michigan, where Medicare Advantage penetration impacts claims and reimbursements significantly.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.medicalbillersandcoders.com\/blog\/locations\/is-your-tcm-billing-built-for-mas-rules\/\" \/>\n<meta property=\"og:site_name\" content=\"Medical Billing and RCM Blogs\" \/>\n<meta property=\"article:modified_time\" content=\"2026-09-17T13:39:06+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-content\/uploads\/2026\/09\/With-63.7-of-Michigan-on-Medicare-Advantage-Is-Your-TCM-Billing-Built-for-MAs-Rules.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1148\" \/>\n\t<meta property=\"og:image:height\" content=\"442\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":[\"WebPage\",\"SearchResultsPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/locations\\\/is-your-tcm-billing-built-for-mas-rules\\\/\",\"url\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/locations\\\/is-your-tcm-billing-built-for-mas-rules\\\/\",\"name\":\"Is Your TCM Billing Built for MA's Rules?\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/locations\\\/is-your-tcm-billing-built-for-mas-rules\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/locations\\\/is-your-tcm-billing-built-for-mas-rules\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/wp-content\\\/uploads\\\/2026\\\/09\\\/With-63.7-of-Michigan-on-Medicare-Advantage-Is-Your-TCM-Billing-Built-for-MAs-Rules.jpg\",\"datePublished\":\"2026-09-17T12:35:17+00:00\",\"dateModified\":\"2026-09-17T13:39:06+00:00\",\"description\":\"Learn about TCM billing processes in Michigan, where Medicare Advantage penetration impacts claims and reimbursements significantly.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/locations\\\/is-your-tcm-billing-built-for-mas-rules\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/locations\\\/is-your-tcm-billing-built-for-mas-rules\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/locations\\\/is-your-tcm-billing-built-for-mas-rules\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/wp-content\\\/uploads\\\/2026\\\/09\\\/With-63.7-of-Michigan-on-Medicare-Advantage-Is-Your-TCM-Billing-Built-for-MAs-Rules.jpg\",\"contentUrl\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/wp-content\\\/uploads\\\/2026\\\/09\\\/With-63.7-of-Michigan-on-Medicare-Advantage-Is-Your-TCM-Billing-Built-for-MAs-Rules.jpg\",\"width\":1148,\"height\":442,\"caption\":\"With 63.7% of Michigan on Medicare Advantage, Is Your TCM Billing Built for MA's Rules\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/locations\\\/is-your-tcm-billing-built-for-mas-rules\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Locations\",\"item\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/locations\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"With 63.7% of Michigan on Medicare Advantage, Is Your TCM Billing Built for MA&#8217;s Rules?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/#website\",\"url\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/\",\"name\":\"Medical Billing and RCM Blogs\",\"description\":\"Medical Billing and Coding Services in USA\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/#organization\"},\"alternateName\":\"MBC\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":[\"Organization\",\"Place\",\"ProfessionalService\"],\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/#organization\",\"name\":\"Medical Billers and Coders\",\"alternateName\":\"MBC\",\"url\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/wp-content\\\/uploads\\\/2025\\\/04\\\/MBC-Square-Logo.png\",\"contentUrl\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/wp-content\\\/uploads\\\/2025\\\/04\\\/MBC-Square-Logo.png\",\"width\":512,\"height\":512,\"caption\":\"Medical Billers and Coders\"},\"image\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.medicalbillersandcoders.com\\\/blog\\\/locations\\\/is-your-tcm-billing-built-for-mas-rules\\\/\"},\"telephone\":[\"888-357-3226\"],\"contactPoint\":{\"@type\":\"ContactPoint\",\"telephone\":\"888-357-3226\",\"email\":\"info@medicalbillersandcoders.com\"},\"email\":\"sales@medicalbillersandcoders.com\",\"faxNumber\":\"888-316-4566\",\"currenciesAccepted\":\"$\",\"openingHoursSpecification\":[{\"@type\":\"OpeningHoursSpecification\",\"dayOfWeek\":[\"Monday\",\"Tuesday\",\"Wednesday\",\"Thursday\",\"Friday\"],\"opens\":\"08:00\",\"closes\":\"17:00\"},{\"@type\":\"OpeningHoursSpecification\",\"dayOfWeek\":[\"Saturday\",\"Sunday\"],\"opens\":\"00:00\",\"closes\":\"00:00\"}]}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Is Your TCM Billing Built for MA's Rules?","description":"Learn about TCM billing processes in Michigan, where Medicare Advantage penetration impacts claims and reimbursements significantly.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.medicalbillersandcoders.com\/blog\/locations\/is-your-tcm-billing-built-for-mas-rules\/","og_locale":"en_US","og_type":"article","og_title":"With 63.7% of Michigan on Medicare Advantage, Is Your TCM Billing Built for MA's Rules?","og_description":"Learn about TCM billing processes in Michigan, where Medicare Advantage penetration impacts claims and reimbursements significantly.","og_url":"https:\/\/www.medicalbillersandcoders.com\/blog\/locations\/is-your-tcm-billing-built-for-mas-rules\/","og_site_name":"Medical Billing and RCM Blogs","article_modified_time":"2026-09-17T13:39:06+00:00","og_image":[{"width":1148,"height":442,"url":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-content\/uploads\/2026\/09\/With-63.7-of-Michigan-on-Medicare-Advantage-Is-Your-TCM-Billing-Built-for-MAs-Rules.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":["WebPage","SearchResultsPage","FAQPage"],"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/locations\/is-your-tcm-billing-built-for-mas-rules\/","url":"https:\/\/www.medicalbillersandcoders.com\/blog\/locations\/is-your-tcm-billing-built-for-mas-rules\/","name":"Is Your TCM Billing Built for MA's Rules?","isPartOf":{"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/locations\/is-your-tcm-billing-built-for-mas-rules\/#primaryimage"},"image":{"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/locations\/is-your-tcm-billing-built-for-mas-rules\/#primaryimage"},"thumbnailUrl":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-content\/uploads\/2026\/09\/With-63.7-of-Michigan-on-Medicare-Advantage-Is-Your-TCM-Billing-Built-for-MAs-Rules.jpg","datePublished":"2026-09-17T12:35:17+00:00","dateModified":"2026-09-17T13:39:06+00:00","description":"Learn about TCM billing processes in Michigan, where Medicare Advantage penetration impacts claims and reimbursements significantly.","breadcrumb":{"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/locations\/is-your-tcm-billing-built-for-mas-rules\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.medicalbillersandcoders.com\/blog\/locations\/is-your-tcm-billing-built-for-mas-rules\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/locations\/is-your-tcm-billing-built-for-mas-rules\/#primaryimage","url":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-content\/uploads\/2026\/09\/With-63.7-of-Michigan-on-Medicare-Advantage-Is-Your-TCM-Billing-Built-for-MAs-Rules.jpg","contentUrl":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-content\/uploads\/2026\/09\/With-63.7-of-Michigan-on-Medicare-Advantage-Is-Your-TCM-Billing-Built-for-MAs-Rules.jpg","width":1148,"height":442,"caption":"With 63.7% of Michigan on Medicare Advantage, Is Your TCM Billing Built for MA's Rules"},{"@type":"BreadcrumbList","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/locations\/is-your-tcm-billing-built-for-mas-rules\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.medicalbillersandcoders.com\/blog\/"},{"@type":"ListItem","position":2,"name":"Locations","item":"https:\/\/www.medicalbillersandcoders.com\/blog\/locations\/"},{"@type":"ListItem","position":3,"name":"With 63.7% of Michigan on Medicare Advantage, Is Your TCM Billing Built for MA&#8217;s Rules?"}]},{"@type":"WebSite","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/#website","url":"https:\/\/www.medicalbillersandcoders.com\/blog\/","name":"Medical Billing and RCM Blogs","description":"Medical Billing and Coding Services in USA","publisher":{"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/#organization"},"alternateName":"MBC","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.medicalbillersandcoders.com\/blog\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":["Organization","Place","ProfessionalService"],"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/#organization","name":"Medical Billers and Coders","alternateName":"MBC","url":"https:\/\/www.medicalbillersandcoders.com\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/#\/schema\/logo\/image\/","url":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-content\/uploads\/2025\/04\/MBC-Square-Logo.png","contentUrl":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-content\/uploads\/2025\/04\/MBC-Square-Logo.png","width":512,"height":512,"caption":"Medical Billers and Coders"},"image":{"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/#\/schema\/logo\/image\/"},"mainEntityOfPage":{"@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/locations\/is-your-tcm-billing-built-for-mas-rules\/"},"telephone":["888-357-3226"],"contactPoint":{"@type":"ContactPoint","telephone":"888-357-3226","email":"info@medicalbillersandcoders.com"},"email":"sales@medicalbillersandcoders.com","faxNumber":"888-316-4566","currenciesAccepted":"$","openingHoursSpecification":[{"@type":"OpeningHoursSpecification","dayOfWeek":["Monday","Tuesday","Wednesday","Thursday","Friday"],"opens":"08:00","closes":"17:00"},{"@type":"OpeningHoursSpecification","dayOfWeek":["Saturday","Sunday"],"opens":"00:00","closes":"00:00"}]}]}},"_links":{"self":[{"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/wpseo_locations\/32163","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/wpseo_locations"}],"about":[{"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/types\/wpseo_locations"}],"author":[{"embeddable":true,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/users\/8"}],"version-history":[{"count":7,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/wpseo_locations\/32163\/revisions"}],"predecessor-version":[{"id":32170,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/wpseo_locations\/32163\/revisions\/32170"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/media\/32165"}],"wp:attachment":[{"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/media?parent=32163"}],"wp:term":[{"taxonomy":"wpseo_locations_category","embeddable":true,"href":"https:\/\/www.medicalbillersandcoders.com\/blog\/wp-json\/wp\/v2\/wpseo_locations_category?post=32163"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}