decisionhealth Newsletters, Part B News - 2002 Issue 10 (October)
Get SNF dealings in writing but keep it simple, practices say
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Article Overview
This article discusses the business and compliance considerations involved when physician practices receive payment related to skilled nursing facility patients. It focuses on the need for written agreements, payment handling, patient record transfer, insurance, and the types of services and information practices may include in SNF contracts. The piece is aimed at practices, billing staff, and administrators who work with SNFs and Medicare billing arrangements.
Why This Topic Matters
Written SNF agreements can help practices document expectations, support payment processes, and reduce misunderstandings in Medicare-related billing relationships. The article is relevant to offices that handle professional and technical services for SNF residents and need to coordinate billing terms with facilities.
Article Sections
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Contracting with SNFs for Medicare payment arrangements
Introduces the need for written agreements between practices and skilled nursing facilities when Medicare payment for patient care is involved. It discusses the general business purpose of these contracts and the relationship between the practice and the SNF.
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Suggested contract terms and operational details
Describes common elements practices may include in SNF agreements, such as records transfer, payment timing, service categories, notice provisions, and liability coverage. It also notes how some practices keep these agreements simple and relationship-focused.
What You Will Learn
- Why some practices use written agreements with skilled nursing facilities
- What broad topics are commonly addressed in SNF contracts
- How practices organize billing and administrative information for SNF-related services
- What operational and risk-management issues are often considered in these agreements
Who Should Read This
- Physician practices
- Medical billing staff
- Practice managers
- Compliance staff
- Health care administrators
- Medical office attorneys
Modifiers Discussed
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