tci Outpatient Facility Coding Alert - 2015 Issue 8

Reimbursement: Strengthen Your Consolidated Bills With These 4 Tips

Read on to know how to negotiate SNF patient cases. Your physician performs services for a patient and bills your Medicare contractor, but instead of collecting reimbursement, you get a denial because your MAC sent the payment directly to the patient’s skilled nursing facility (SNF). Now it’s up to you to negotiate with the SNF to get your money back. If this scenario sounds familiar, it’s because consolidated billing has been a constant headache for practices. “Medicare will pay a claim, take back the funds, and we are left trying to get payment from the...

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