Skilled Nursing Facility Patient Seen in Physician's Office

When a Medicare patient from a skilled nursing facility is seen in our cardiology physician's office, is it correct that we should bill the nursing facility for the visit instead of Medicare? Thanks in advance.

SNF patient in MD office

No, do not bill the nursing home for office visits provided in the physician office when the aptient is a resident of a skilled nursing facility. You bill Medicare Part B.

Consolidated billing applies to other types of services.

http://codapedia.com/article_353_Consolidated-Nursing-Home-Billing.cfm

This article may help.

snf patient in md office

Thanks for your answer....that's what we normally do, and Medicare will pay, but come back later and recoup because pt was in a SNF at the time of service......

snf

Look at #14
http://www.ngsmedicareconvention.com/pdf/a_snf_cb_qa.pdf

snf

Thank you!!