Just wonder if anyone can please answer this question. A facility that I visit has a resident that is covered by Med A. He was residing in assisted living before this hospitalization, and was receiving Epogen injections at the Dr’s. Office weekly (injections were covered by BC/BS). Now he is in therapy and we were wondering if the facility pays for these weekly injections (out of PPS) even though he still receives them at the Drs. Office since he is covered by Med A, or does BC/BS still pay for them as they did when he was residing in assisted living? Should the facility be giving him his injections since he is covered by Med A? I know Epogen injections are not counted under Section P on the MDS if given during Dialysis. Any help would be greatly appreciated. Thanks for all your help.
Angie
