tci Medicare Compliance & Reimbursement - 2013 Issue 5

MAC Spotlight: Wait For Clarity On TCM Rules To Emerge

Some MACs seem to be in the dark regarding whether subsequent E/M visits are separately payable. The Centers for Medicare & Medicaid Services announced new transitional care management codes but have yet to issue in-depth instructions on how to use them. If you think that your local MAC will be able to clarify the process, you might be in for a shock. That’s the takeaway from a Feb. 7 “Ask the Contractor” conference call held by NGS Medicare, the Part B MAC for New York and Connecticut. “As of yet, we have not received complete direction...

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