Are You Missing TCM Revenue After Hospital Discharges? A Primary Care Billing Guide

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A patient is discharged from the hospital, returns to the primary care practice, and the care team spends time reviewing the discharge summary, reconciling medications, coordinating follow-up, answering questions, and managing the next steps. Then the practice bills a regular office visit. That is where some primary care practices may be leaving legitimate TCM revenue unrecognized. Transitional Care Management (TCM) is designed to account for the work involved in managing a patient's transition from an inpatient setting back to the community. Medicare's TCM framework includes communication after discharge, medication reconciliation and management, care coordination, and a required face-to-face visit. For practices handling a high number of hospital discharges, the financial issue is not simply whether the practice knows about CPT 99495 and 99496. The bigger issue is whether the practice has a reliable process for identifying eligible patients, completing the required steps on t...
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Everything You Need To Know About Podiatry Billing Services Guidelines

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Podiatry is one of the medical specialties, which concentrates on the diagnosis and treatment of the human feet and ankles. Podiatrists care about different conditions related to the foot such as heel spurs, toenails, fallen arches, foot/ankle injuries, and plantar fasciitis. Services offered by podiatrists should be paid for by either insurance companies or the patients or by both. Podiatry billing services are a very critical part of many practices.

As far as podiatry billing services are concerned, it is able to collect money efficiently from payers that are accountable for covering the services offered by podiatrists and patients. There are some services, which are not covered by payers, especially those which are not considered medically needed for appropriate foot care as per the Medicare Benefit Policy Manual (MBPM).

Below we Mentioned the Services which are Covered by Payers:

An exception to podiatry services covered

There are specific foot care services that are not covered by Medicare, and there are chances to be covered under general third-party insurance. If you avail of some sort of foot care services that fall into this category then it is a waste of time to hassle with your insurance company for reimbursement. Which are those services?

To know more about Podiatry Billing Services Guidelines click here: http://bit.ly/3Z5eHnU Contact us at info@medicalbillersandcoders.com/ 888-357-3226.

Location: United States

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