DecisionHealth, DecisionHealth - 2018 Issue 6 (June)

Check the discharge: TCM claims should be backed by the inpatient discharge record

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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