In February 2003, the Fiscal Intermediary UGS referred to a special letter from CMS on this topic.  It stated:

"Per CMS instructions, SNFs must notify any outside provider if they are treating a SNF Part A beneficiary in order for that provider to correctly direct the charges back to the SNF for payment (unless the outside provider is providing an excluded service).

"The SNF must pay for any service provided to a Part A beneficiary by an outside supplier, unless that service is excluded from consolidated billing by statute."

Rena

Subj: med A letter
Date: 12/19/03 9:49:15 AM Pacific Standard Time
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Is anyone aware of/familiar with a letter for Med A patients to take with them to outpatient appts @ Physician offices, that informs them the patient is on a med A stay?  Thanks.

Susan Hickson-Painter, R.N.
Quality Management Specialist




Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
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