tci Part B Insider - 2003 Issue 6

BUNDLING: Call Carriers To Avoid Bundling Shortfalls

If home medical equipment providers and Part B therapists furnish supplies or care to a Medicare patient who is under a home health plan of care, the system denies dealers' claims for any items bundled into the prospective payment system. The same goes for Part B therapy services. In the long run, the Centers for Medicare & Medicaid Services "plans to make available" patients' home health information through the Eligibility Benefit Inquiry/Response (270/271) Transaction System, CMS says in March 7 program memorandum B-03-021. "Payment for the services denied by Medicare may be sought from the beneficiary, but you should...

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