Wiki Is there any billable charges in this scenario? Need assistance please

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micki127

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Hi,

I'm hoping someone can assist with this issue. I have a provider that has gone to a skilled nursing facility to review a patients records, discuss patient care with the SNF, and download information from a BIPAP machine. Is there any billable charges in this scenario?

Also, is there any billable charges when the provider has a phone conversation/encounter with the SNF to discuss patient care?

If this is a billable situation. Can you please tell me what codes should be used and what documentation needs to be done. Our provider is not affiliated with the skilled nursing facility.

Thank you in advance for any advice and assistance you can give.
Micki
 
Medicare is clear; there must be a face-to-face encounter in order to bill for most professional services. However, if the provider is performing SNF oversight, look at 99379, although Medicare doesn't pay for this (only for Hospice or Home Health services).
 
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