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ddebbied

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My question is that I have received a denial from Medicare for a procedure. They are requesting a refund stating services within a skilled nursing facility period are subject to consolidated billing. Can someone tell me if I should have used a modifier on this procedure? The charge for the visit is not being requested back only the procedure.
 
ddebbied said:
My question is that I have received a denial from Medicare for a procedure. They are requesting a refund stating services within a skilled nursing facility period are subject to consolidated billing. Can someone tell me if I should have used a modifier on this procedure? The charge for the visit is not being requested back only the procedure.
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If my memory serves me correctly that means that the nursing home is responsible to pay you for the services. When I worked for IM and we saw alot of skilled nursing pts we would get those refund request for lab work we did. I would call your Medicare carrier to confirm this info first.
 
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