This information letter is to remind providers that when billing for Targeted Case Management (TCM) Services and Preadmission Screening and Resident Review (PASRR) evaluations that these services must be billed as “two separate claims”.
The TCM claim is billed as one claim and the PASRR evaluation as a second claim.
When the TCM and PASRR evaluation claims are submitted under one claim, only the TCM claim
is paid, and the PASRR claim denied.