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Old 09-16-2009, 10:41 AM
Partha Partha is offline
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What POS service should be used for a consutlation performed in a skilled nursing faciilty. Medicare denied invalid POS for a consultation 99241 billed for POS 8 (SNF).
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Old 09-16-2009, 10:56 AM
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8? 8=Tribal 638 Provider-based Facility

31=SNF

http://www.cms.hhs.gov/PlaceofServic...80409codes.pdf
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Old 09-17-2009, 05:30 AM
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Originally Posted by rebeccawoodward View Post
8? 8=Tribal 638 Provider-based Facility

31=SNF

http://www.cms.hhs.gov/PlaceofServic...80409codes.pdf
Sorry POS = 8 SNF is the POS set up in our billing software which crosswalks to industry standard 31 = SNF
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Old 09-17-2009, 06:34 AM
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I believe it's your CPT code. Per Medicare....In the nursing facility setting, the consulting physician or qualified NPP shall use the appropriate Initial Inpatient Consultation codes (99251 – 99255) for the initial consultation service.

http://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf

Page 54

CPT also states to report 99251-99255 for Nursing Facilities
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Old 09-17-2009, 08:57 AM
Partha Partha is offline
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I believe it's your CPT code. Per Medicare....In the nursing facility setting, the consulting physician or qualified NPP shall use the appropriate Initial Inpatient Consultation codes (99251 – 99255) for the initial consultation service.

http://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf

Page 54

CPT also states to report 99251-99255 for Nursing Facilities
Great thanks as always your responses are spot-on backed by documentation.
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