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MCR, SNF, and consolidated billing for office visits

A

amberlarsen820

Contributor
Messages
23
Location
Wichita, KS
A SNF pt came into our office for a visit. (I work for nephrologists.) We submitted the claim to Medicare for an office visit with Place Of Service 11 (Office). Medicare originally paid, but is now requesting the money back.

In our office, we have found instructions on WHO to bill, and it states we should bill Medicare part B. A coworker called Medicare, and they stated that this was correct, but we are using the wrong code, and Medicare has a list of codes on their website that are supposed to be used for consolidated billing.

Can anyone direct me to this list of codes? I have been searching for a good 20 minutes now with no luck. I have found one list, but it lists the office codes that we bill!

Any help you can give me would be greatly appreciated! Thanks!
 
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