Medicare Compliance & Reimbursement

Determining whether a patient is in a Part A or Part B stay is your key to proper reimbursement when dealing with consolidated billing. Most practices deal with a patient who is staying in a nursing facility at some point. When that time comes and your physician sees a nursing facility patient in your office, your challenge is collecting proper reimbursement for those services. The problem: A patient's nursing facility NF status -- whether he is in a Part A-covered stay or a Part B-covered stay -- determines how you should be billing for your physician's services, and if you're not following consolidated billing rules you'll continue to sacrifice part of your fees. Good news: If you follow three steps, you'll be well on your way toward proper billing and payment every time. 1. Understand Consolidated Billing and How It Affects Your Practice Before you can start billing for services [...]