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Thread: ASC and skilled nursing facility

  1. #1

    Default ASC and skilled nursing facility

    AAPC: Back to School
    If a patients is in a skilled nursing facility and had their procedure done 52000 in our ASC and they have Medicare and Medicaid is it reimbursable? I have a denial from Medicare stating that this procedure 52000 can be done in the skilled nursing facility and therefore not payable to the ASC. ?!

    Any help would be appreciated

  2. #2
    Join Date
    Apr 2007


    if they are in a SNF facility then therefore Medicare will not reimburse your ASC because its considered consolidated billing. you will have to contact the snf facility and see if they will reimburse you.....good luck in getting payment....

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