Forum - Questions & Answers

Dec 14th, 2015 - damills    3 

2016 Final Rule on DOS for TCM

Hi Ms. Nicoletti,

Has there been a change in the DOS to be used for TCM codes?
According to a section from the 2016 Final Rule, they will allow us to use the face-to-face DOS as the reported TCM DOS on the claim.

"...Regarding TCM services, we are adopting the commenters’ suggestions
that the required date of service reported on the claim be the date of the
face-to-face visit, and to allow (but not require) submission of the claim when
the face-to-face visit is completed, consistent with current policy governing
the reporting of global surgery and other bundles of services under the PFS. We
will revise the existing sub-regulatory guidance for TCM services accordingly..."

I cannot find anything on Medicare websites.

Thank you,
Dori Mills, CPC, CPMA, CEMC

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Dec 14th, 2015 - Codapedia Editor 1,399 

re: 2016 Final Rule on DOS for TCM

Yes, that was in the final rule and is effective January 1. 2016. It often takes CMS some time to catch up on their website.

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Dec 14th, 2015 - damills    3 

re: 2016 Final Rule on DOS for TCM

Thank you!
It did not seem appropriate to me, without a need to update the 30 -day service period description included in the definition of the code, however, it will certainly ease up the administrative burden in holding these claims for a 30 day period prior to releasing for payment!
Thanks again!!

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