tci Part B Insider - 2015 Issue 10

Part B Coding Coach: 4 Tips Ensure You Don't Forfeit Pay When Treating SNF Payments

Hint: Make sure you have the right POS for consolidated billing. You perform services for a patient and bill your Medicare contractor, but instead of collecting reimbursement, you get a denial due to the fact that your MAC sent the payment directly to the patient’s skilled nursing facility (SNF). Now it’s up to you to negotiate with the SNF to get your money back.   If this scenario sounds familiar, it’s because consolidated billing has been a constant headache for medical practices. “Medicare will pay a claim, take back the funds, and we are left...

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