tci Medicare Compliance & Reimbursement - 2006 Issue 29

DME SUPPLIERS: Feds Clarify Your Recourse In SNF Billing Snafus

Don't let nursing home consolidated billing drain you.Your staff know which HCPCS codes are included in nursing home consolidated billing. The trouble is, the facility you've billed isn't paying up when it should. In fact, it isn't even taking your calls anymore.What's a durable medical equipment (DME) supplier to do? Fortunately for those serving nursing home residents in Medicare Part A covered stays, officials from the Centers for Medicare & Medicaid Services (CMS) revisited the question at a recent Skilled Nursing Facility/Long-Term Care Open Door Forum.Background: Skilled nursing facilities (SNFs) receive a per diem payment from...

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