tdavid
New
We have a patient who is in a nursing home (temporarily) for her knee. She requested a visit to come to our office to be seen for her diabetes. Patient has Medicare (Noridian). We billed insurance and they are not paying saying that this should be paid by nursing home. Should this code be billed out as a nursing home visit even though she was seen in our office? Or is there a special modifier to be put on the e/m? Any insight is greatly appreciated. Thank you.