Adhere to the Medicare requirements and bundling rules for SNF coverage payment. If you don’t work in a skilled nursing facility (SNF), you may not understand how SNF consolidated billing (CB) affects you. The way you answer the following two questions may help you to see the connection: Have you ever had a Medicare patient ...
In Billing
Apr 24th, 2014
Since Jan. 1, 2011 a certifying physician must document that he or she—or an qualified non- physician practitioner (NPP)—had a face-to-face encounter with the beneficiary prior to certifying a beneficiary’s eligibility for the home health benefit. The Centers for Medicare & Medicaid Services (CMS) has clarified this documentation requirement in a special edition of the ...
In CMS
Jan 29th, 2010
National Government Services — the Part B Medicare Administrative Contractor (MAC) for jurisdiction 13 (Connecticut, Indiana, Kentucky and New York) — is implementing a prepay edit for a particular Nursing Facility Visits CPT® code due to recent service specific prepay audit results conducted by its medical review department. NGS Implements Prepay Edit for 99310 was last modified: July ...