RENA ,I asked earlier but had no response.If my MED A patient goes to acute care for a 
blood transfusion.Is this service bundled back to SNF.?My financial person tells me,we 
have never needed to pay such a bill.He tells me he is still awaiting the new HCPCS 
codes for 2004.He went into the codes and found 2 codes for transfusions, one code 
36430 is bundled back to us,one code 36440 is excluded.He couldn't see why there were 
2 codes,one we pay,one we don't.I can only assume the hospital is coding for the 
exclusion.My facility is north of Boston and it took months before the free standing 
units for chemo and radiation started billing us.Would this be the same situation with 
transfusions? 

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