tci Medicare Compliance & Reimbursement - 2010 Issue 19

Consolidated Billing: 3 Simple Steps Put You on the Path to Capturing Payment for Your Nursing Facility Services

Determining whether a patient is in a Part A or Part B stay is your key to proper reimbursement when dealing with consolidated billing. Most practices deal with a patient who is staying in a nursing facility at some point. When that time comes and your physician sees a nursing facility patient in your office, your challenge is collecting proper reimbursement for those services.The problem: A patient's nursing facility NF status -- whether he is in a Part A-covered stay or a Part B-covered stay -- determines how you should be billing for your physician's services, and if...

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