DecisionHealth, DecisionHealth - 2012 Issue 5 (May)

Ask a Part B News expert: SNF billing

How do you bill diagnostic services that fall under consolidated billing? Do you bill Medicare Part B for the professional component and Part A for the technical component, or do you identify Part A patients and only bill Part B using modifier 26(professional component)? Also, is it fraudulent for a skilled nursing facility (SNF) to have providers bill Part B global and when the technical component is denied, reimburse the SNF once we provide them with the remittance advice?

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