tci Medicare Compliance & Reimbursement - 2015 Issue 7

Consolidated Billing: Negotiate With SNF To Secure Reimbursement

Hint: Understand the nitty-gritty of consolidated billing first. If you face denials for services rendered to skilled nursing facility (SNF) patients, you need to take a closer look at which services Medicare excludes and does not reimburse.  And don’t give up on those denied claims — find out how to get your money back.  Consolidated billing has been a constant headache for medical practices. “Medicare will pay a claim, take back the funds, and we are left trying to get payment from the SNF which doesn’t want to pay us,” says Lynde Bledsoe...

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