gina_marie
Contributor
Not sure if anyone has any insight on this. CMS is kind of hard to understand. One of my doctors has been seeing a patient in a nursing home for CHF and COPD. She was recently hospitalized for 3 days due to anemia with chronic blood loss requiring blood transfusions. When she was discharged from the hospital, she was sent back to the nursing home. My physician wants to know if he can bill an initial nursing home visit (99306) or does he have to go to using the subsequent nursing home visit (99310) after she was discharged and sent back to the NH? He had to write up a new plan of care for her including the anemia due to chronic blood loss, not sure if that matters though. It sounds like CMS is saying "30 days" but it isn't real clear on nursing home -> hospital -> nursing home billing. It seems like it was more for hospital -> nursing home -> hospital readmission.
Is there anyone that can clarify this for me?
Many thanks for any assistance!
Gina
Is there anyone that can clarify this for me?
Many thanks for any assistance!
Gina