tci Medicare Compliance & Reimbursement - 2004 Issue 25

REHAB: PTs Working With SNFs Make Key Coding Mistakes

How therapists can correct these costly blunders. Therapists should think twice before they treat one more patient in a skilled nursing facility without a written agreement from the SNF. The therapist could wind up working for free -- or even getting in trouble with the feds. Under the consolidated billing provisions for SNFs, the facility is responsible for billing Medicare Part B for all services provided by outside suppliers -- such as physical, occupational and speech therapists -- and then must pay the supplier from the reimbursement the SNF receives. Further, the SNF and the supplier must be operating...

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