tci Medicare Compliance & Reimbursement - 2009 Issue 20

BILLING: CMS Clarifies How to Bill for Skilled Services

But don't expect proposed changes to clear up your confusion. Figuring out which services Medicare will pay for is a toughie -- but don't think you'll be able to look to the Centers for Medicare & Medicaid Services for guidance. In the HH PPS Update 2010 proposed rule published in the Aug. 13 Federal Register, CMS included clarifications about coverage for evaluation and management services, something that agencies desperately need to determine whether Medicare will pay for skilled nursing and home health aide services as the primary payer, says Washington, D.C.-based attorney Elizabeth Hogue. CMS's clarifications don't...

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