tci Medicare Compliance & Reimbursement - 2013 Issue 7

Clip and Save: Create a Nursing Facility Payment Contract With this Sample Tool

Even if your provider doesn’t see many NF patients, be proactive and have a contract ready. When your physician sees a nursing facility (NF) patient in the office, you will likely need to bill a portion of the encounter to the payer and another portion to the nursing facility, thanks to Medicare’s consolidated billing rules. Reduce payment delays and frustration by having a set contract such as this one in place. Keep in mind: There are additional details you’ll want to add to this basic sample contract to make it specific for your practice’s needs...

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