Healthcare Financial Services
To increase the quality of patient care and reduce hospital re-admissions.
CPT Code 99495 – TCM services with moderate medical decision complexity (face-to-face visit within 14 days of discharge)
CPT Code 99496 – TCM with high medical decision complexity (face-to-face visit within 7 days of discharge)
The 30-day TCM period begins on the date the beneficiary is discharged from the inpatient hospital setting and continues for the next 29 days.
COLLECTION
The purpose of collection is to find out what happened to the Dr’s money. Why is the claim not paid? What can we do to get a payment? You need to try and act as completely as possible: try to make sure that the actions you are performing will facilitate either a payment or finalization of the claim. The point is not to keep the claim open.
Currently, there are two ways in which to bill Medicare for Non-physician Providers (NPP) services: direct (under the NPP`s name and NPI) and incident to (under supervising physician`s name and NPI).
“Incident to” services are defined as those services that are furnished incident to physician professional services in the physician’s office (whether located in a separate office suite or within an institution) or in a patient’s home.