Wiki Billing TCM

[kimber88]

Am I reading correct, we no longer have to hold the TCM codes 99495 and 99496 for 29 days after discharge? They can now be billed at time of service? I hope so this would make life much easier!!

 

[slivingston]

Tcm

If anyone has documentation on this I would love to know where. I heard the same thing but our Docs won't let us change unless we have it in writing.

 

[mhstrauss]

I have a link about this in a previous thread:

https://www.aapc.com/memberarea/forums/e-m/131028-transition-care-coding.html

I'm still thinking the original article I read this in was Part B News, but I haven't been able to find it again. I haven't been able to find anything directly from CMS. I believe there are a couple of other threads here too; can try following them for any updates. If I find anything, I will post.

 

[kimber88]

TCM billing

I 1st heard about billing TCM on DOS instead of at the 29 day mark in a webinar put on by our Clearinghouse, Navicure. She referenced http://go.cms.gov/1PpqmVd
But I only see where it talks about CCM not TCM.

 

[SUEV]

As far as I've found, the information has only been listed in the Federal Register. On page 37 they state they are adopting recommendations to allow date of service and that they "will revise the existing subregulatory guidance" but I haven't been able to find anything that shows it's been done yet.
I tried adding the link to the document but the forum's not allowing the complete address. Try searching for the Federal Register, Vol 80, No 220 Part II dated November 16, 2015.