At our facilities, we only pay the MD the fee schedule- that is all he would be paid by Medicare so that is all we pay to the Physician. We do the same with all bills we may get from Physicians or other outside services.
carol maher <[EMAIL PROTECTED]> wrote: > > >Only certain chemotherapeutic medications are excluded from SNF PPS.nbsp;nbsp; Check >the consolidated billing transmittal on the AANAC website, it gives all of the HCPCS >codes of the excluded chemo agents.nbsp; If the med your resident is receiving is >listed on the transmittal as an exclusion, then the oncologist's office can bill >Medicare directly and the SNF will not be billed.nbsp; IF, however, the med is NOT >listed as an exclusion on the transmittal, then the SNF is responsible for the cost >of the medication.nbsp; I have found that most chemo agents that the oncologists use >in my area are NOT exclusions and so are the responsibility of the SNF for >payment.nbsp; Discuss the exclusions with the oncology office prior to the beginning >of your resident's treatment.nbsp; If the oncologist needs to use a med that is not >an exclusion, bargain with him to charge the SNF the Medicare Fee Screen rate.nbsp; >The SNF is not responsible for the professional component of the chemo treatment (the >doctor's fee).nbsp; > > >-----Original Message----- >From: Posey Payne > > >Sent: Dec 11, 2003 6:30 PM >To: [EMAIL PROTECTED] >Subject: > > � > >nbsp;nbsp;nbsp; Where can I find written information regarding who is responsible >for the payment for chemotherapy while a resident is in a skilled >facility under Medicare part A. >Exclusions?nbsp; Does it matter if the chemotherapy was started prior to >admission? >Thank-you for any help >Linda Payne > > The information contained in this electronic message and any attachments to this > message are intended for the exclusive use of the addressee(s) and may contain > confidential or privileged information.nbsp; If you are not the intended recipient, > please notify Linda Payne, R.N., C.R.N.A.C. immediately @ [EMAIL PROTECTED] destroy > all copies of this message and any attachments.nbsp; Thank you for your cooperation. >/---------------------------------------------------------- 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 >-----------------------------------------------------------/ ?N�jnj��ˬ�*'�.�+~�����Ǩ~�^g��Ƨ�(r&����|۫��,��,��� �+v)ڶ�� ����^v�-��,��,���>� z�"�v��.��h�+"[EMAIL PROTECTED]@װ���,�梷���/�ȭ�ƭ��i��0���i�+�
