MarkG01
Networker
Has anybody tryed coding/billing for these transitional care management services? If so what was used for the DX....any reimbursements yet?
I work for a primary care provider and we do bill and get reimbursed for these codes. Patient is contacted following discharge and appointment for follow up is set. While we put one of the TCM codes on the chart, we do not bill until 30 days have elapsed from date of discharge. We also hold any other e&m's for that patient during the 30 day period, in case the patient returns to the hospital and we have to change the original tcm to an ov. After 30 days we bill the charge with a collection note for our reference, stating where notes are for that charge. We use the diagnosis for the hospital visit as well as any other pertinent current ones.