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A8: A physician or NPP may report both the discharge code and appropriate TCM code if he or she provided both services. However, Medicare will prohibit billing a discharge day management service on the same day that a required E/M visit is furnished under the CPT TCM codes for the same patient.

Between the lines: The 10 gaming firms impacted by the strikes include: Activision Productions Inc.; Blindlight LLC; Disney Character Voices Inc.; Electronic Arts Productions Inc.; Epic Games, Inc.; Formosa Interactive LLC; Insomniac Games Inc.; Take 2 Productions Inc.; VoiceWorks Productions Inc.; and WB Games Inc.

Billing should occur at the conclusion of the 30-day post-discharge period. They are payable only once per patient in the 30 days following discharge, thus if the patient is readmitted TCM cannot be billed again.

Transitional Care Management (TCM) services address the hand-off period between the inpatient and community setting. After a hospitalization or other inpatient facility stay (e.g., in a skilled nursing facility), the patient may be dealing with a medical crisis, new diagnosis, or change in medication therapy.

The 30-day period for the TCM service begins on the day of discharge and continues for the next 29 days. The reported date of service should be the 30th day.

The Interactive Media Agreement covers interactive or video game programs where the viewer or user can manipulate, affect, or otherwise alter, on a real time basis, the sequence or presentation of the program.

It's been nearly a year since SAG-AFTRA's video game contract, the Interactive Media Agreement, was extended beyond the original expiration date. Unfortunately, throughout the negotiations, the companies have failed to address SAG-AFTRA members' needs.