I haven't done skilled nursing billing in a few years, but the rules used to be that you had to bill the skilled nursing facility for the technical portion with a TC modifier and you billed the professional to Medicare with a 26 modifier. We had issues at our radiology practice where we did not know the patient was from a SNF. We would most times get payment from Medicare, then they would take the money back indicating there was another payer. We would rebill Medicare right away with the 26 modifier and then spend time trying to figure out which SNF the patient resided at. I believe the SNF is paid a daily rate for the patient by Medicare, so the SNF has to pay for the technical portion of diagnostic services out of that money.
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join