Wiki Transitional Care Management Payment Issue

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tjanz1418

Networker
Messages
32
Location
Wichita, KS
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My office is not getting paid by Medicare for 99495 or 99496. They are saying our time frame is not correct. On one example, the patient was discharged on 3/2/13, so we billed on 3/31/13. Are we counting incorrectly or is anyone else having trouble getting paid?
 
It appears your dates are ok. Are you a surgeon, working within a 90 day global? TCM is bundled into surgical days.

I'd call---we're getting paid by Medicare, Harvard Pilgrim, Martin's Point, NH Medicaid and United Healtcare. No payment on Anthem, Cigna and Aetna.
 
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