Title: Epogen Billing
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Angie,
If the resident is on Med A, then yes, the Epogen
needs to be billed to the facility as part of consolidated billing. It would
probably make more sense to give the injections at the facilityand cut out the
middle man (ie the MD office).
We have 2 Med A residents receiving either epogen
or procrit right now and it aint cheap.
Holly
----- Original Message -----
Sent: Thursday, November 13, 2003 10:21
PM
Subject: Epogen Billing
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
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