Wiki 99495 and 99496

[tetzel@berkschc.org]

Would anyone know whether or not a PCP can bill using these codes for a patient being released from the hospital and following up with us as their PCP? Anyone know the guidelines or criteria that has to be met for billing purposes?

 

[SSweetland]

transitional care management

CMS has really good information on what is needed to use these codes. I hope this helps.

www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN and www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/.../FAQ-TCMS.pdf

 

[Rebecca Pate]

Yikes!

The links don't work.

 

[jsalzer50]

Cms

Try this link: https://www.cms.gov and type in those 2 codes in their search bar (top-right of the website). Then scroll down to Transitional Care Management Services Text Only. I think that document might be helpful..

I've provided this as a PDF attachment to this message as well.

Sincerely,

Jacob