Wiki Medicare/Medicaid NF coding denials

Auntalisa

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We are receiving denials for codes 99307-99310 stating the number of days or units exceeds our acceptable maximum. The long description of the codes state "Subsequent nursing facility care, per day, for the evaluation and management of a patient..." Our physicians are billing for seeing these patients on a daily, weekly, every other day basis, however the insurance providers are not paying. We are billing to POS 31 and 32. Do you have any suggestions on how to code daily, weekly visits in a nursing setting. Is it the taxonomy type, etc? Do we need to use the codes for hospital inpatient? Just trying to think outside the box. Thanks in advance for you assistance. Alisa
 
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