tci E/M Coding Alert - 2016 Issue 2

Clip and Save: Protect Your Practice From Nursing Facility Snafus With a Contract

Using a sample agreement like this can ensure you get proper payment. If you are one of the many practices that sees nursing facility (NF) patients in the office, you need to understand consolidated billing rules. As part of consolidated billing, you will likely need to bill a portion of the encounter to the payer and another portion to the nursing facility. But if you don’t have a set contract with the nursing facility, you risk not getting paid for your providers’ service. “If a physician is on staff at the nursing home, the services are included...

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