tci E/M Coding Alert - 2014 Issue 7

Nursing Facility Coding: Understand and Separate "Initial" From "Subsequent" Care When Coding

Better your chances for a proper reimbursement by having the correct POS. When your physicians and midlevel providers see patients in a nursing facility, determining the code to report isn’t always straightforward. Before you can select a code to report the patient care provided, you have to know what care was provided and by whom.  Coding for initial nursing facility care — in either a skilled nursing facility (SNF) or a nursing facility (NF) — starts with becoming familiar with what is meant by “initial” and knowing that state law has its paws in the mix...

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