Wiki SNF and NPPS


walpole, NH
Best answers
Can a NP admit to a SNF, I have gotten a few denials as not payable under Part B services, she is adding the A1 modifier and I have a feeling it is the modifier that is causing the issue, as the modifier instructions state "physician of record".
They cannot admit to a SNF. I suggest reading your local coverage determination from your carrier. My carrier is Novitas - here's a link to the policy if you'd like to take a look at it-

They can perform consults in a SNF and do follow up/progress notes. If you are being denied for consults in a SNF appeal them. I have personal experience with RR Medicare denying consults for NPP's in the SNF. If you ever have an issue there reference MLN Matters Article 6740 and 7405. I have appealed to 2nd level QIC and won every one of them.
Good Luck!