Carol,
The only way that the PICC line placement could be considered an exclusion would be if 
it was considered "ambulatory surgery involing the use of an operating room."  If that 
is NOT the case, and it is probably not, then it is not an exclusion.  If not an 
exclusion, the facility would be liable for the expense of the procedure, the x-ray 
and the transportation.  The only part of the procedure that would not be the 
facility's responsibilty would be the physician's professional component and the 
radiologist's professional component .  My facility usually asks for the lines to be 
placed before admission to the SNF so that we do not have to bear the burden of the 
expense for the procedure and trip.  


-----Original Message-----
From: Carol O'Brien <[EMAIL PROTECTED]>
Sent: Nov 26, 2003 7:45 AM
To: [EMAIL PROTECTED]
Subject: payment for PICC

We are trying to determine if it would be beneficial to have a group come 
in-house to place PICC lines.  If we have a Medicare A resident that we send 
out to the hospital for a PICC line, are we responsible for the procedure in 
our per diem rate?  How about the X-ray to verify placement? Transportation 
to and from?

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/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
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