tci Medicare Compliance & Reimbursement - 2008 Issue 38

Consolidated Billing: Find Your Way Through the SNF Billing Maze

Consult Stark and consolidated billing rules first. If your physician sees patients in a skilled nursing facility (SNF) or SNF patients come to your office, you are faced with unique billing and reimbursement challenges when it comes to Medicare. Take a look at this case study and see if your billing solutions match up to the experts. Scenario: Several of my physicians are medical directors of skilled nursing facilities, says Janice Oakley, CCP, RMC, CMM, compliance officer of InterMountain Medical Group in Wilkes-Barre, Penn. They receive a stipend for this from the SNF. Are they allowed to bill...

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