tci Medicare Compliance & Reimbursement - 2011 Issue 4

Nursing Facilities: Boosting E/M Coding Know-How Pays Off for SNFs, Patients, Attendings

Target underbilling in these key scenarios. Skilled nursing facilities looking for new ways to reduce rehospitalization and get more physician coverage for their patients might ensure their attendings understand how to get paid appropriately for services provided in their facilities. Geriatricians and internists who provide services to nursing home patients may also benefit from brushing up on correct coding and billing.The reality: SNF patients come from hospitals and most are fairly sick with lots of clinical problems, observes Charles Crecelius, MD, PhD, CMD, a nursing home medical director and health policy advisor for the American Medical Directors Association...

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