AAPC - Back to school
Results 1 to 2 of 2

Thread: nursing home/ Medicare patients

  1. #1

    Default nursing home/ Medicare patients

    AAPC: Back to School
    I thought I was told one time that if a nursing home resident comes to the physicians office for an appointment that the nursing home should be billed for the services, not Medicare. Does anyone know if this is true?? Any input would be appreciated! Thank you!

  2. #2
    Join Date
    Apr 2007
    Grand Rapids, MI


    If they are a true "SNF" patient then yes. If not, you can bill medicare. I would call the nursing home, they would know the status of the patient. Most homes usually do not allow their patients to leave the facility to see an outside doc since they know this would be bundled and would be cutting into their payments.

Similar Threads

  1. Nursing Home Medicare Documentation
    By suebrock17@gmail.com in forum Medicare Regulations
    Replies: 0
    Last Post: 10-29-2015, 11:57 AM
  2. Nursing Home Admission-Medicare
    By KSanders1983 in forum Medicare Regulations
    Replies: 0
    Last Post: 10-20-2015, 09:32 AM
  3. Nursing Home Patients Modifier??
    By erina586 in forum Modifiers
    Replies: 1
    Last Post: 12-05-2011, 03:44 PM
  4. Giving Botox to nursing home patients?
    By marci_ann in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 12-08-2010, 11:43 AM
  5. Nursing Home patients
    By dswords in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 04-21-2009, 02:48 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.