tci Medicare Compliance & Reimbursement - 2014 Issue 16

Billing Spotlight: Find Your Path To Accurate Reimbursement for SNF Patients

Hint: The secret lies in consolidated billing guidelines. Don’t wait until your biller starts the claim process before checking whether your skilled nursing facility (SNF) patient is a resident in a Part A or Part B stay. Confirm with the facility and then begin the billing process. Three tips guide your way to proper reimbursement. 1. Study What Consolidated Billing Means Before you can start billing for services your physician performs for nursing facility patients, you need to figure out what consolidated billing really is and why it matters to your billing process. How it works: “Under...

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