Let us know about problems with transition care codes

ACP has been receiving some reports of problems with payment for claims for the transitional care management services. ACP has been working with CMS staff on this issue but needs additional details about the problems that have been experienced.

If you have experienced a problem using these new codes, please contact Debra Lansey in the ACP Health Policy and Regulatory Affairs Department with the details of your claim. Send an email that includes:

• the name of your Medicare carrier or commercial insurer,
• the date of the patient's hospital/facility discharge,
• the diagnosis on hospital/facility discharge,
• the TCM claim billing date,
• the date of the face-to-face visit,
• the diagnosis on the TCM claim,
• the carrier's stated reason for claim denial and
• any other info related to the denial or lack of processing.