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Denials are unfortunately common when it comes to documenting Transitional Care Management claims. In order to assist you in your next steps, please be aware of the following pit falls:
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Transitional Care Management: Top Three Pitfalls for Claim Denial

Transitional Care Management

Table of Contents

THREE COMMON PITFALLS

Denials are unfortunately common when it comes to documenting Transitional Care Management claims. In order to assist you in your next steps, please be aware of the following pit falls:

UNTIMELY CONSULTATION

Transitional Care Management (TCM) claim submission requires synergized and timely documentation from multiple levels of care: starting from the office staff creating initial contact with patients, to clinicians performing the necessary face-to-face visit.

It is important to note the difference in business day (for initial contact) and 30 calendar day to complete all requirements. There is also a required distinction for when moderate and high complexity patients are to be seen.

INACCURATE DOCUMENTATION

Something as trivial as the wrong date or CPT code reported may be enough to prompt a denial.

UNPERFORMED CLINICAL REQUIREMENTS

Medicare and Medicaid not only require services be performed at a timely manner, but certain services must be performed in both face-to-face and non face-to-face visits.

The DocCharge Solution
Effectively Address these Pitfalls by downloading our TCM question guide to learn more.

About DocCharge

DocCharge: Be productive again! Practice analytics, mobile charge capture, HIPAA compliant messaging, and tools for billers.
DocCharge is a mobile physician productivity platform enabling physicians and clinicians to save time by efficiently capture patient billings, communicate with back office and maximize revenue by avoiding lost charges using real-time analytics on a mobile device. Designed by a physician for fellow physicians, residents/fellows, and mid-level providers, DocCharge maximizes one’s productivity. Practice Administrators and outsourced billing companies find the application very intuitive, thus improving practice efficiency and revenue.
DocCharge is transforming healthcare data into useful and actionable insights, thereby allowing partner subscribers to focus their resources on the core business of providing high quality patient care. For more information, visit www.DocCharge.com, email: contact@DocCharge.com.

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