tci Part B Insider - 2004 Issue 19

CONSOLIDATED BILLING: Don't Bill Medicare First For Part A SNF Patients

A 20-page contract isn't necessary for SNF referrals Physicians can't afford to provide anything other than evaluation and management services to patients in skilled nursing facilities, the Practicing Physicians Advisory Council told an official from the Centers for Medicare & Medicaid Services in a May 17 meeting. "I'm very concerned about some vof the comments that [you] may not be able to treat these patients," the official said. The official told PPAC that the agency is limited by law in terms of the services it can allow physicians to bill separately for patients in a SNF. For patients...

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