youngva462@gmail.com
Contributor
I work for a wound clinic that has now started treating patients at an inpatient rehab facility. There is a divide among the staff about how these E/Ms would be billed.
Half the staff say - our normal office visit ems (99202-99215) with pos 11 or 61
<im quite confident billing with pos 61 would deny for pos inconsistent w e/m>
Other half say - irf em codes 99221-99233 with pos 61
<this reasoning being the idea that em codes are based on where the services take place and not the rendering provider's "home base">
we have all scoured the internet trying to find something pertaining to this and the only guidelines we can find are about how an irf should itself bill payers.
thoughts?
i think either way, we need a contract with the facility to reimburse us for denied services.
Half the staff say - our normal office visit ems (99202-99215) with pos 11 or 61
<im quite confident billing with pos 61 would deny for pos inconsistent w e/m>
Other half say - irf em codes 99221-99233 with pos 61
<this reasoning being the idea that em codes are based on where the services take place and not the rendering provider's "home base">
we have all scoured the internet trying to find something pertaining to this and the only guidelines we can find are about how an irf should itself bill payers.
thoughts?
i think either way, we need a contract with the facility to reimburse us for denied services.