nursing home

  1. jkyles

    Wiki 2023 E/M guidelines

    The guidelines that will go into effect 1/1/2023 are available. https://www.ama-assn.org/system/files/2023-e-m-descriptors-guidelines.pdf Enjoy! :geek:
  2. A

    Wiki Ancillary Charges for Nursing Homes

    Hi guys, I appreciate any legit links, data, etc... I have been billing for a nursing home for about 8 months. I had no training (other than my many years knowledge of general medical billing, and coding experience). I have a handle on the SNF claims. I completely understand the...
  3. S

    Wiki SNF vs Long Term Care

    One of the providers I bill for currently sees patients in a nursing home. He is thinking of switching floors and if so, would be seeing long term care patients instead. I currently bill using CPT codes 99306-99316. I know Medicare A has different coverage for long term vs short term...
  4. B

    Wiki Annual Wellness Visits

    Hi! I know we can do an AWV at an Assisted Living POS. What about at a Nursing Facility? Thanks!
  5. A

    Wiki 99358 & 99484

    Hi! Mental Behavioral Health, (psychiatrist/NP/PA) servicing Nursing Facilities.. Can you bill a 99358 and 99484 in the same calendar month?!
  6. K

    Wiki Group Practice Provider Seeing Patients in Different Place of Service.

    We are a group practice that has a few Dr.'s, NP's and PA's in an outpatient mental health professional office setting. If one of our PA's or NP's sees patients in a nursing home outside of the office setting for medication management (E/M) what CPT codes would be used and would there be...
  7. P

    Wiki 99309 and 99315

    Can you bill Medicare for 99309 and 99315 for the same date of service by the same provider? I was of the opinion that you could only bill for one, but one of the physicians wants me to bill for both services on the same date.
  8. E

    Wiki Blue Cross Denial for POS 32 w/ 99310

    Hello, I have a few claims sitting on my desk denying because they are stating that 99310 is incompatible with POS 32. Our physicians visit patients in the Nursing Home. Now - BC has paid 99304-99309's, as this this pts had been in the POS for some time. (Nursing Home bills using POS 32...
  9. E

    Wiki 99310 in POS 32... Blue Cross

    Hello, I have a few claims sitting on my desk denying because they are stating that 99310 is incompatible with POS 32. Our physicians visit patients in the Nursing Home. Now - BC has paid 99304-99309's, as this this pts had been in the POS for some time. (Nursing Home bills using POS 32...
  10. G

    Wiki Jobs in Nursing Homes or Assisted Living

    Can anyone share their experience about working as Coders in a Nursing Home or Assisted Living? Do these facilities hire coders? Also can you recommend any speciality certification for this type of coding. I have never seen any jobs listed in my area for coding work in a Nursing Home or...
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