decisionhealth Newsletters, Part B News - 2006 Issue 3 (March)
Document SNF phone calls, but don't bill for them
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Article Overview
This billing guidance article discusses how to document phone calls involving skilled nursing facility patients and why those calls generally should not be separately billed. It is aimed at clinicians and coding/billing staff who support Medicare evaluation and management documentation, especially in the nursing facility setting. The article covers how phone-related information can factor into medical decision making, interval history, and documentation practices, along with references to relevant documentation guidelines and visit code groupings.
Why This Topic Matters
Accurate documentation of care coordination and phone communication can affect evaluation and management support without creating unsupported charges. The topic matters to providers and billing teams working with skilled nursing facility visits and Medicare documentation requirements.
What You Will Learn
- How phone conversations may fit into ongoing evaluation and management documentation
- Why certain nursing facility visits should not be billed using time-based methods
- How interval history can be affected by events between subsequent visits
- How documentation guidelines relate to medical decision making in this context
Who Should Read This
- Physicians
- Billing staff
- Coding professionals
- Practice managers
- Skilled nursing facility providers
Codes Discussed
Code Ranges Discussed
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