Practice Management Alert

Bill This!:

Determine Which Agency You'll Bill in This SNF Case

How would you bill each component of this case?Test your skilled nursing facility (SNF) billing skills with this case study from a Medical Office Billing & Collections Alert subscriber in Maryland. I have a case where I'm having trouble assigning the deciding what to bill and which entity to seek payment from. One of our longtime patients now lives in a skilled nursing facility. She wants to continue visiting our office although the nursing facility has physicians who would see her. My doctor performed a level-four established patient E/M service along with an EKG (93010) and spirometry testing (94010) in our office. How would you bill these services? Which would you bill to the Medicare carrier and which would you send to the SNF?Answer: Your physician can see this patient in your office, and you should bill the E/M portion of the visits as usual. Complications might arise, however, with [...]
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