The facilities get no reimbursement for a Medicare or Medicaid PICC line 
insertion with ultrasound even if an MD places the line.  It should however be 
billed as other payers might have a carve out fee for the ultrasound unit
kathy

________________________________

From: [EMAIL PROTECTED] on behalf of Monica Sorg
Sent: Tue 2/7/2006 9:40 AM
To: [EMAIL PROTECTED]
Subject: Reimbursement


I'm sure this has been discussed in detail at some point, but I can't recall.  
I am ignorant when it comes to reimbursement issues.  I realize that the nurses 
putting in the PICCs/MLs in LTC don't always have ultrasounds, but for those 
who do and can produce hard copy images of the vessel being cannulated, can the 
facilities bill insurance companies and medicare?  I was thinking about this 
issue last night and thought the same thing you did, Leigh Ann.  The political 
route may be necessary.  I've always wanted to bring a cause before congress : )
 
Monica Sorg, RN CRNI
Infusion Nurse Specialist
University of Louisville Hospital
Louisville, KY


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