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? _________________________________________________________________ online games and music with a high-speed Internet connection! Prices start at less than $1 a day average. https://broadband.msn.com (Prices may vary by service area.) /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
