Join code in the Nursing Home Enquiry

Aug 6th, 2022
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Below are some common questions from our customers that may provide you with the answer you're looking for. If you can't find an answer to your question, please don't hesitate to reach out to us.
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Place of Service Codes are two-digit codes placed on health care professional claims to indicate the setting in which a service was provided. The Centers for Medicare Medicaid Services (CMS) maintain POS codes used throughout the health care industry. Place of Service Codes - CMS cms.gov MEDICARE CODING-BILLING cms.gov MEDICARE CODING-BILLING
98960 Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) each 30 minutes; individual patient.
99304-99306. Initial Nursing Facility Care. 99307-99310. Subsequent Nursing Facility Care. 99315-99316. Nursing Facility Discharge Services.
CPT codes 99234-99236 are for patients admitted to the hospital and discharged on the same date. For patients with multi-day stays, use 99221-99223 for initial services, 99231-99233 for subsequent visits, and 99238-99239 for discharge services. Initial nursing home visits are coded with 99304-99306.
These CPT codes are used to report E/M services in facilities assigned POS codes 13 (assisted living facility), 14 (group home), 33 (custodial care facility) and 55 (residential substance abuse facility). Assisted living facilities may also be known as adult living facilities. Jurisdiction J Part B - Nursing Facility Services - Palmetto GBA Palmetto GBA jjb.nsf DIDC Palmetto GBA jjb.nsf DIDC
Use POS 31 when the patient is in a skilled nursing facility (SNF), which is a short-term care/rehabilitation facility. Use POS 32 when the patient is in a long-term nursing care facility. Place of Service Code 31 vs Place of Service Code 32 | TLD Systems place-service-code-31-vs- | TLD Systems place-service-code-31-vs-
Use POS 31 when the patient is in a skilled nursing facility (SNF), which is a short-term care/rehabilitation facility. Use POS 32 when the patient is in a long-term nursing care facility. Keep in mind that one facility can provide BOTH types of care.
32. Nursing Facility. A facility which primarily provides to residents. skilled nursing care and related services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care services above the level of custodial care to other than individuals with intellectual disabilities. Place of Service Codes for Professional Claims Database | CMS Centers for Medicare Medicaid Services | CMS (.gov) website-pos-database Centers for Medicare Medicaid Services | CMS (.gov) website-pos-database PDF

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