The orthodics company if billing to Medicare would be using the date of delivery to the patient. SO LOGICALLY would not the same rules apply. You do not bill until after the service has been delivered for any Medicare services!
Theresa Lang Specialized Medical Services, Inc Milwaukee WI -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Orth, Ron A Sent: Thursday, March 11, 2004 3:48 PM To: '[EMAIL PROTECTED]' Subject: Consolidated Billing - Unusual Situation A facility ordered a special brace for a resident as ordered by the physician. After being ordered, the resident was transferred to another SNF before the brace was delivered. The orthotics company is now ready to deliver the brace. We checked the HCPC code and it is not an excluded brace so the $ 3,000.00 charge is the responsibility of the SNF? Question is which SNF? The ordering SNF or the receiving SNF? When CB first started I thought something came out that said it is the responsibility of the SNF where the product is delivered. Any input from anyone and a source would be helpful. Thanks Ron /---------------------------------------------------------- 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 -----------------------------------------------------------/
