The HHA needs to fix it claim to Medicare or possible bill Medicare to let them know that his person is no longer under a HHA POC- until they do there is not way for the SNF to bill.
Theresa Lang Specialized Medical Services, Inc. Milwaukee, WI -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Chriss, Theresa M. Sent: Tuesday, April 06, 2004 8:21 AM To: AANAC Q&A (E-mail) Subject: question regarding billing for outpatient I don't know much about this, but here it goes! We were told that before our facility can bill for outpatient services, the patient needs to be officially "closed out" by their home health agency. Apparently what was happening was that Medicare considered the patient to be open for 60 days with home health. When in fact, they were in home health 2 weeks, and then to our facility for outpatient therapies. I guess when we went to bill, we were denied, because they were still in home health. Does anyone know anything about this and what procedures to follow to ensure proper payment?? Right now, we've had 2 denied. So we are no longer accepting patients for outpatient if they've been in home health. THANKS TERRI :0) /---------------------------------------------------------- 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 -----------------------------------------------------------/
