tci Medicare Compliance & Reimbursement - 2005 Issue 10

LONG TERM CARE: These Common PPS Oversights Could Cost Thousands

 Clear communication is vital to keeping per diem costs in line  Don't wait to learn this lesson the hard way: Long-term care (LTC) facilities could wind up paying out thousands unnecessarily if even one Part A resident receives the right services in the wrong place.Skilled nursing facilities have had years to get used to the ins and outs of consolidated billing, but many providers still find themselves saddled with big bills from freestanding health facilities for services they provide to residents in a Part A stay - services that should be excluded from the relatively modest per...

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