We have a medicare pt, we did not know she was in skilled nursing facility in a covered part A stay. This patient was brought to our "professional office/non facility". We saw her for 2 E&M visits and an endometrial biopsy. We billed medicare part B, they paid & have recouped the payment. I have been unable to find any information on billing office visits/procedures in such a way that medicare will cover them when done in our office. Do we bill the SNF directly without billing medicare? Any advice will be greatly appreicated. This is a very rare occurance for our OB/GYN group.