tci Medicare Compliance & Reimbursement - 2006 Issue 20

CONSOLIDATED BILLING: SNFs Come Up Short On Consolidated Billing Arrangements

SNFs still stuggle with unexpected 'under arrangement' bills from suppliers, agency says.Skilled nursing facilities struggling with consolidated billing can protect their Medicare profit margins with this simple mantra: "Get it in writing."Officials speaking at a recent SNF/Long-Term Care Open Door Forum touched on issues from therapy caps to MDS audits, but consolidated billing concerns again took center stage.A big stumbling block for many SNFs: How to work with outside suppliers "under arrangement."SNFs that fail to firm up agreements with outside suppliers are likely to get burned by bills for services that Medicare says are included...

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