Are there limitations on how often the initial nursing facility care may be billed? I understand that if the patient is readmitted an initial code may be billed. My example:

Multiple physicians within our group. One physician left and another became responsible for this particular patient. The patient was initially admitted in Septemeber by the leaving doc. The "new" physician took over the patient and wants to bill another initial nursing facility care code due to having to do a complete evaluation/history/exam/etc. because the leaving physician did not document thouroughly.

I believe since we are all the same group the "new" doc must bill a subsequent visit. Any other thoughts?

Also, should an initial nursing facility care code be billed when the patient is seen in the office to be admitted to the nursing home, however, they are NOT seen at the nursing home that day?