Wiki Office visit for inpatients in SNF

[rheaton]

Looking for clarification on coding an office visit for a patient that was transported from a local rehab/SNF to our office for a office visit. (Pt is an inpatient at rehab). We are not affiliated with them and it is a Medicare patient. Under CMS we are understanding to bill the SNF for reimbursement, but they are telling us to bill this to medicare showing as inpatient which doesn't make sense when it was and E/M outpt visit? Can anyone help?

 

[rlreynolds]

SNF and office visit

You can bill and get paid for your office visit if the dx is not related to SNF. Any procedures/labs that can be done by SNF should be done there. It is very hard to get SNF to pay you.