tci Part B Insider - 2008 Issue 16

PART B MYTHBUSTER: You Can Once Again Collect for Prolonged Nursing Facility Services

After years of having to eat the cost of these services, you're in the clear to billMyth: You can't bill prolonged service codes for the lengthy E/M services that your physician performs in nursing facilities.Reality: CMS now confirms that you can collect for those prolonged services when your physician spends additional time with a nursing facility patient.History: When you want to report prolonged services, you look to CPT to determine the typical time that a service should take. Without that benchmark, you can't know how much time a -prolonged- service should take.But in 2006, CPT removed...

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