tci Medicare Compliance & Reimbursement - 2005 Issue 25

Long-Term Care: Let The Cat Out Of The Bag About CT Scans

How a scan can take money from an LTC provider's kitty when someone else should pony up.Long-term care providers that do not communicate with clinicians about CT scans could get a big bill for a scan they shouldn't have to pay for. In most cases, the Centers for Medicare and Medicaid Services excludes the cost of a resident's medically necessary CT scan from the per diem rate they pay nursing homes to care for Part-A stay residents, confirms Carol Maher, MDS coordinator for Manor Care in Citrus Heights, CA. But more than a few facilities take a...

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