Wiki skilled facility billing

[Coder852]

I work in an ophthalmology office. What is the correct way to bill for a patient in a skilled facility when the facility says"yes the patient is medicare part a skilled but is in a private pay facility?"

Michelle

 

[bethdeak]

I work in an ophthalmology office. What is the correct way to bill for a patient in a skilled facility when the facility says"yes the patient is medicare part a skilled but is in a private pay facility?"

Michelle

I'm not sure I understand your question. Are you trying to determine if your services are subject to consolidated billing during a patient's med a stay?

A patient could be requiring a skilled level of care and be in a period of benefits exhaust which could mean why the R and B ect is being paid private. Or all their beds are medicare certified and the patient is private pay for other reasons.