tci Medicare Compliance & Reimbursement - 2019 Issue 7

Compliance: RACs Investigate SNF Consolidated Billing

Plus: OIG keeps this matter as an active Work Plan item. If you’re confused about Medicare consolidated billing rules associated with skilled nursing facilities (SNFs), now is a good time to revisit the payment requirements. Perennial problems with consolidated billing have caused these claims and payments to be under active review by both the feds and the Recovery Audit Contractors (RACs). Here’s What’s on the OIG’s Radar Part B payments for ambulance services for SNF patients have remained a thorn in Medicare’s side due to “high error rates and significant overpayments for services...

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