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Wiki Payment for TCM when the discharge date is not on file

tatumroe

Networker
Messages
37
Location
Belleview, FL
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0
We performed a TCM on a patient who was discharged inpatient by a provider of a different practice. When our claim was received the payer did not have the discharge on file and denied our claim. Does anyone else have this issue and know of any resolution on how to appeal to be paid when it is no fault of ours that the discharging provider did not report their claim for the discharge CPT code?

Missing/incomplete/invalid prior hospital discharge date.​
 
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