This is from the Medicare Claims Processing Manual, which can be found at http://cms.hhs.gov/manuals/104_claims/clm104c06.pdf
Chapter 6 - SNF Inpatient Part A Billing
40.3.5 - Determine Utilization on Day of Discharge, Death, or Day Beginning a Leave of Absence
"Also, if no-payment is possible under PPS, billing is not allowed for ancillary services. Ancillary charges for these days have been included in the PPS rates for days that can be billed."
PPS is an all-inclusive per diem payment (except for the few services excluded from consolidated billing) and therefore billing ancillary charges would not result in payment anyway.
Rena
Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]
Subj: billing ancillary svc day of discharge
Date: 1/14/04 8:37:37 AM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the Internet
My billing person has a question. Resident received PT on day of discharge and she wants to know if we can bill for the ancillary svc provided that day. If the answer is yes could you provide where she might find the info she needs to do this. Thanx, Faye
