Nursing Home Question

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AttendingPod

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Hi everyone,

I’ve been trying to find information about the financials of covering nursing facilities, but I’m having difficulty. I looked into the CMS billing physician fee and it appears you make less for nail and callus codes at a nursing home since you are not providing the facility. It’s significantly less which is concerning to me. Some of this would be improved with new patient codes and such, but I have no idea how much I’ll average per patient. I want to know my avg/pt so I can figure out how many pts to see to make it worth my time. Also, I heard some facilities will pay doctors a fee to consistently show up to their facilities (like a contract?). Is this true and if so, any clue how much it might be? I appreciate the help and info.

CMS Info:
Nails: 15 - 24, (office setting 31-42)
Calluses: 16 - 22.50 (office setting 48-68ish)
New Nursing Home Patient: 88-123
Established Nursing Home Patient: 42 - 65
New Domiciliary or Rest Home Patient: 55-80
Established Domiciliary or Rest Home: 58-90

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