Forum - Questions & Answers

Feb 3rd, 2015 - blanche22 20 

Transitional Care codes

I am confused as to when to use the 99495 and 99496 transitional Care Management codes. Currently patients discharged from the hospital followup within a few days at the office. Dr. has me billing the these codes.
recently Humana denied this and said that these codes are to be billed after 30 day of the discharge. Can anyone direct me to information that would explain this clearer for the exact use and when to use them. Thank you

Feb 4th, 2015 - janstewart 11 

re: Transitional Care codes

http://www.aafp.org/dam/AAFP/documents/practice_management/payment/TCMFAQ.pdf

This document answers a lot of common questions about the transition of care codes. The CMS web site would also be helpful to you.

Feb 4th, 2015 - blanche22 20 

re: Transitional Care codes

Thank you janstewart, the article has explained it better and I will give to Dr.



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