Hi, George. Unless the nursing home or assisted living center employs physicians, you probably would not be doing any professional coding in those settings. Nursing homes are considered inpatient facilities, and are reimbursed by Part A, not Part B. They are reimbursed based on DRG assignment, so they may hire a CCS or RHIA (these are AHIMA certifications) to code. We (Certified Professional Coders) have different training, that is physician-based.
Most physicians that see patients in the nursing home setting have their coding/billing done by the coders that they employ within their individual practices.
I'd be interested to hear if any of our posters are working in a nursing facility, and to learn how they got there!
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