tci Medicare Compliance & Reimbursement - 2008 Issue 18

Transmittals: Physicians Can Bill For Prolonged E/M In Nursing Facilities

After years of having to eat the cost of these services, you're in the clear to collect Myth: You can't bill prolonged service codes for the lengthy E/M services that your physician performs in nursing facilities.Reality: CMS now confirms that you can collect for those prolonged services when your physician spends additional time with a nursing facility patient.History: When you want to report prolonged services, you look to CPT to determine the typical time that a service should take. Without that benchmark, you can't know how much time a "prolonged" service should take. But in 2006, CPT...

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