Medicare Denial
Hi,I am billing to my Doctor whose speciality is Woundcare and is in MA. We submitted a claim with CPT 93922, which was denied by Medicare stating "A Skilled nursing facility is responsible for...
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First off, I don't pretend to be an expert on SNF billing.If you and your doc don't understand SNF consolidated billing (CB), you both need to do some reading. MOST services provided to residents in...
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odd denial. Generally, professional component goes to Medicare B and the technical goes to the SNF. But then, I don't do a lot of SNF either.
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I'm with Doo in that I don't know A LOT about SNFs but like Doo I do know that you should bill the SNF for most services in the first 100 days. Just like your provider would bill a hospice for...
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Thanks very much for the information Doo!The only doubt I still have here is I am billing for my Doctor for his professional services. Should I go ahead and bill the SNF which is quite unique for this...
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SNF requires you to bill TC components with consolidated billing arrangements. For Professional component, please use modifier 26. Actually if the procedure code is TC only then nothing can be done...
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The following is from the Physicians News Digest:Where does the physician "fit" into the reimbursement requirements and regulations for skilled nursing facilities (SNFs)(My Note: Per 2005 CPT, Skilled...
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