tci Part B Insider - 2007 Issue 38

REVENUE BOOSTER: Don't Write Off X-Ray Reimbursement for SNF Patients

Fees may seem small, but they add up over timeIf 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 to the SNF...

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