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Thread: skilled nursing facility coding

  1. #1
    Join Date
    Apr 2007

    Default skilled nursing facility coding

    AAPC: Back to School
    Can anybody tell me where I can find info on a change in Medicare for coding skilled nursing facility physician visits? My physician has done visits to the SNF for years, but suddenly Medicare is saying the the codes we use are "subject to SNF consolidated billing". But in everything that I have read on the Medicare website, it says physician visits are exempt from consolidated billing. And the 99308, 99309 are the correct codes to use.
    Should I be using skilled nursing facility as the POS and TOS? Up to now we have used nursing home and physician visit nursing home.

  2. #2
    Join Date
    Apr 2007
    Harrisburg PA


    This came from a Medicare Report July 2011 from Highmark Medicare Services.

    Check and see if your answer is in one of these areas:

    Remember communication between the ambulance provider and the SNF is essential. You’ll find additional documentation on ambulance services including a list of those that are appropriate for Part B billing in the following references:
    • Centers for Medicare & Medicaid Services (CMS) Internet Only Manual (IOM) 100-04; Chapter 15, Section 30.2.2: http://www.cms.gov/manuals/downloads/clm104c15.pdf

    • CMS IOM 100-04; Chapter 6, Section 20.3.1: http://www.cms.gov/manuals/downloads/clm104c06.pdf

    • CMS SNF Consolidated Billing: http://www.cms.gov/SNFConsolidatedBilling/

    • SE0433 Skilled Nursing Facility Consolidated Billing as it Relates to Ambulance Services: http://www.cms.gov/MLNMattersArticle...ads/SE0433.pdf


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