DecisionHealth, DecisionHealth - 2015 Issue 8 (August)

You can bill TCM if patient readmitted — but watch rules on timing the claim

Question: Our contractor denied our transitional care management (TCM) claim (99495) on the grounds that the patient was an inpatient at the time of the claim. He’d been readmitted to the hospital during the 30 days of TCM. What can we do?

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