tci ED Coding & Reimbursement Alert - 2013 Issue 12

Services for Prisoners: Avoid Getting Robbed On Payment for ED Services to Patients in Custody

Know your rights when submitting claims to Medicare patients brought in by law enforcement personnel It is not uncommon for EDs to provide care for patients that are in police custody, and it can be a real problem getting paid for those services. However, if the patient in question is covered by Medicare, it can be even more confusing. CMS recently released clarifying language on Medicare claims for patients in the custody of law enforcement.  Study up on how CMS defines “prisoner” to make sure you are on the right side of the law. There is a...

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