Reader Question: Don't Change POS for SNF Patient in Office
Question: We have a scenario where our physicians are seeing skilled nursing facility (SNF) patients in the office, yet the patient does reside in a nursing home. We are receiving recoups from Medicare HMOs for our visits. Is it appropriate to change the place of service (POS) code to the skilled nursing facility even though services were not provided at that location?
Answer: You shouldn’t change the POS to “nursing home” for the office visits. However, it is likely that your payments are being made directly to the SNF under the consolidated billing rules.
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