Check the discharge: TCM claims should be backed by the inpatient discharge record
Effective Jun 21, 2018
Published Jun 25, 2018
Last Reviewed Jun 21, 2018
Practices that perform transitional care management (TCM) services (99495-99496) should work with inpatient facilities to confirm the date a patient was discharged. The documentation for TCM services should include the date the patient was discharged from an inpatient facility, such as a hospital or skilled nursing facility. However, a comparative billing report performed last year found that some TCM claims did not have a matching discharge record from the facility.
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