tci General Surgery Coding Alert - 2016 Issue 5

Reader Question: Work This Plan for SNF Office Payments

Question: One of our surgeons is treating a skilled nursing facility (SNF) patient in the office. We are receiving payment from Medicare HMOs for our visits. Is it appropriate to change the place of service (POS) code to the skilled nursing facility even though services were not provided at that location? Florida Subscriber Answer: You shouldn’t change the POS to “nursing home” for the office visits. However, it is likely that your payments are being made directly to the SNF under the consolidated billing rules. How it works: Under consolidated billing, a SNF receives a basic per...

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