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Hospitals
in our area are not billing the SNF’s for part B modified barium swallow
studies and in some cases not even their part A modified barium swallow
studies. Is this a common occurrence everywhere, and if it is will the SNF’s be
responsible for the hospital not billing them at a later date? -----Original
Message----- The only other piece of
the puzzle is be sure they are not billing you for something that would
normally be included in the per visit fee for example a post surgical follow up
visit would include removal of sutures. -----Original
Message----- The
good news is that your facility is NOT responsible for the physicians professional
part of the bill. In other words, the doctor's fee for the visit.
However, the facility is probably responsible for the ultrasound and any
treatment done by the wound doctor. There is a list of procedures that
are exclusions from Medicare PPS on the AANAC site. The updated list of
exclusions is presently the top entry on the left hand column of the AANAC
site, called "Consolidated billing update 2004" . That
update lists all of the exclusions from PPS. Any exclusion listed is NOT
the responisiblity of the facility. So, if the procedure's HCPCS code is
not present on the consolidated billing transmittal, then the facility is
responsible for the bill. ----- Original Message -----
Sent:
Sunday, February 15, 2004 5:40 PM Subject: consolidated billing question We just admitted a resident to our Medicare census who is a
dialysis patient with wound care. She had to go to a surgeon yesterday
for an ultrasound for a graph placement. She is also being seen by a
Wound Doctor. Are we responsible for these charges? We think we are. Thanks for any help. |
- consolidated billing question Gail Hinshaw
- Re: consolidated billing question carol maher
- RE: consolidated billing question Faye Jones
- David Norsworthy
