TCM billiing

adminservices

Contributor
Messages
15
Best answers
0
Is TCM billable if the patient goes to SNF in Nursing Home?

what about if the go into the Nursing Home but a NON SNF unit?
 

Pam Brooks

True Blue
Local Chapter Officer
NAB Member
Messages
2,118
Location
South Berwick, ME
Best answers
0
TCMs are billable after discharge from an IP stay. Since Nursing Home and SNF stays are also considered inpatient, and the discharge must be to a home setting (home, assisted living, domiciliary home) you cannot bill TCM when the patient is discharged from the hospital into a SNF.

The guidelines for TCM are on the CMS website. Here's the link. http://www.cms.gov/Outreach-and-Edu...-Management-Services-Fact-Sheet-ICN908628.pdf




 
Top