Forum - Questions & Answers

Jul 30th, 2013 - pkr59

transition of care

Medicare is denying payment for TOC because "Time frame requirements between this service/procedure/supply have not been met." According to the rules we bill 30 days after discharge. Pt was discharged on 5-29-13 and we billed 99495 on 6-29-13, which was denied for the above reason. What am I doing wrong?

Jul 31st, 2013 -

re: transition of care

Day of service should be 06/27/2013. Starting ON day of discharge, count 30 days...



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