• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Transitional Care Management Payment Issue

Create Wiki
T

tjanz1418

Networker
Messages
32
Location
Wichita, KS
Best answers
0
My office is not getting paid by Medicare for 99495 or 99496. They are saying our time frame is not correct. On one example, the patient was discharged on 3/2/13, so we billed on 3/31/13. Are we counting incorrectly or is anyone else having trouble getting paid?
 
It appears your dates are ok. Are you a surgeon, working within a 90 day global? TCM is bundled into surgical days.

I'd call---we're getting paid by Medicare, Harvard Pilgrim, Martin's Point, NH Medicaid and United Healtcare. No payment on Anthem, Cigna and Aetna.
 
You must log in or register to reply here.
Top