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Infectious Disease

DIXIE Posted Fri 11th of July, 2014 15:35:46 PM

Patient discharged from hospital. Was told to see our doctors in the office for follow up visit. Came to our office we charged out 99213 with the POS of office. Carrier originally paid now 2 years later states POS was incorrect, the patient was living in an assisted living facility. How should we be billing for this?

SuperCoder Answered Fri 11th of July, 2014 16:31:51 PM

Thank you for your question.

If the patient came to the office for the visit, the POS would be outpatient office.

11 Office Location, other than a hospital, skilled nursing facility (SNF), military treatment facility, community health center, State or local public health clinic, or intermediate care facility (ICF), where the health professional routinely provides health examinations, diagnosis, and treatment of illness or injury on an ambulatory basis.

13 Assisted Living Facility

Congregate residential facility with self-contained living units providing assessment of each resident's needs and on-site support 24 hours a day, 7 days a week, with the capacity to deliver or arrange for services including some health care and other services.

(Effective October 1, 2003)

DIXIE Posted Thu 02nd of October, 2014 11:07:26 AM

Flu vaccines (Fluvirin 5ML 10 DS VL)what is the correct coding to be used:

Medicare patients - in for office visit same day
Commercial carriers - in for office visit same day

SuperCoder Answered Mon 06th of October, 2014 09:18:31 AM

Please post this as a new question as it is unrelated to the original question. Thank you.

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