tci Medicare Compliance & Reimbursement - 2007 Issue 44

SNFs: X-Ray Fees Add Up Over Time

Payments for SNF patients may seem small, but don't write them off If you write off X-ray fees for SNF patients, you could be forfeiting thousands by not following up on the X-ray fee's technical component.The problem: Skilled nursing facilities (SNFs) must consolidate their billing for Medicare beneficiaries who are in a Part B non-covered SNF stay in which their Part A benefits are exhausted. When coding for these patients who present to private practices or clinics for X-rays, bill the physician's x-ray interpretation to Medicare with modifier 26 (Professional component) appended, but bill the technical component directly...

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