Resident goes out to dialysis 3x/wk and receives tobramycin IV while at dialysis.  
Facility currently sends the IV medication with the resident for the dialysis center 
to administer.  We know that we cannot take credit for it on the MDS.

The tobramycin is not related to the ESRD diagnosis.  My first thought was to have the 
dialysis center supply AND administer the drug.  However, since tobramycin is not 
excluded from CB, could the dialysis center bill for this or would the SNF still be 
responsible.  I am thinking the facility is responsible since it is unrelated to the 
dialysis but may be wrong.


Any thoughts?

Thanks
Ron
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