TCM billing

Can you bill TCM services when the patient is on hospice? There is no mention that I see within the MLN from March 2016.


Vickie Trotter, CPC
Corporate Auditing
vickie.trotter@infirmaryhealth.org
Phone: (251) 435-3917
Fax: (251) 435-7246

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Comments

  • edited June 2017
    Below is the only thing I've ever seen referring to Hospice when it comes to billing TCM services.

    When you report CPT codes 99495 and 99496 for Medicare payment, you may not also report these codes during the TCM service period: * Care Plan Oversight Services * Home health or hospice supervision: HCPCS codes G0181 and G0182 * End-Stage Renal Disease services: CPT codes 90951-90970

    Deon Lartigue, CMM, CPC, ICD-10 Certified
    Mobile Pediatric Clinic, LLC
    Mobile, AL 36609
    (251) 639-1006
    deon@mobilepeds.com


  • Where did you find "Home health or hospice supervision" ?


    Vickie Trotter, CPC
    Corporate Auditing
    vickie.trotter@infirmaryhealth.org
    Phone: (251) 435-3917
    Fax: (251) 435-7246

    CONFIDENTIALITY NOTICE
    This communication contains information which is legally privileged and confidential. It is for the exclusive use of the intended recipient(s). If you are not the intended recipient(s) please note that any form of distribution, copying, forwarding or use of this communication or the information therein is strictly prohibited and may be unlawful. If you have received this communication in error please return it to the sender and then delete the communication and destroy any copies. Thank you.

  • edited June 2017
    MLN publication on Transitional Care Management, ICN 908628, Dec. 2016, bottom of page 6

    Deon Lartigue, CMM, CPC, ICD-10 Certified
    Mobile Pediatric Clinic, LLC
    Mobile, AL 36609
    (251) 639-1006
    deon@mobilepeds.com


  • Thanks! They updated the book since I copied it in March (it was still March of 2016). The March MLN had the codes wrong to boot!


    Vickie Trotter, CPC
    Corporate Auditing
    vickie.trotter@infirmaryhealth.org
    Phone: (251) 435-3917
    Fax: (251) 435-7246

    CONFIDENTIALITY NOTICE
    This communication contains information which is legally privileged and confidential. It is for the exclusive use of the intended recipient(s). If you are not the intended recipient(s) please note that any form of distribution, copying, forwarding or use of this communication or the information therein is strictly prohibited and may be unlawful. If you have received this communication in error please return it to the sender and then delete the communication and destroy any copies. Thank you.

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