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Thread: Patient in Skilled Nursing Facility

  1. #1

    Default Patient in Skilled Nursing Facility

    AAPC: Back to School
    A patient is in a skilled nursing facility. If a family member makes a Dr appt with the patients PCP is it coverer by medicare Part B or does the SNF have to make the appt?

  2. #2
    Join Date
    Apr 2007

    Smile SNF Medicare reply

    If the family member made apt with Pt's PCP then it's not necessary for the SNF to make addtional apt. Calling to confirm the apt is regulatory. Which is how your question is worded.
    Yes it's payable by Part (B) only if one the PCP comes to treat pt @ SNF or If the pt is treated @ pt's PCP OFFICE. If pt is transported by ambulatory there will be a seperate billable charge.

    Sylvia G. Guajardo
    AAPC Proud Member
    Are you waiting for Jesus

  3. #3


    Thanks for the help.

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