tci Part B Insider - 2006 Issue 2

UROLOGY: Be Aware Of Part B Billing Pitfalls For SNF Patients

Attach modifier 26 to request reimbursementBeware: When it comes to skilled nursing facility (SNF) patients, Medicare Part B often will not reimburse you for services in the usual manner. Do you know the common billing hazards that can lead to claim denials? Here's how to steer clear.  Because Medicare Part A typically covers SNF patients and consolidated billing rules apply, you can only report certain codes to Medicare. Do this: Report codes that indicate the professional component to Medicare and then submit a claim to the SNF for the technical component. Hazard #1: For many of the...

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