Thank
you. We figured this was the answer but she was hoping. I appreciate the
reference.
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED]
Sent: Saturday, January 17, 2004
12:12 PM
To: [EMAIL PROTECTED]
Subject: Re: billing ancillary svc
day of discharge
Ancillary services are not billable
on the day of discharge.
This is from the Medicare Claims Processing Manual, which can be found at http://cms.hhs.gov/manuals/104_claims/clm104c06.pdf
Chapter 6 - SNF Inpatient Part A Billing
40.3.5 - Determine Utilization on Day of Discharge, Death, or Day Beginning a
Leave of Absence
"Also, if no-payment is possible under PPS, billing is not allowed for
ancillary services. Ancillary charges for these days have been included in the
PPS rates for days that can be billed."
PPS is an all-inclusive per diem payment (except for the few services excluded
from consolidated billing) and therefore billing ancillary charges would not
result in payment anyway.
Rena
Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]
Subj:
billing ancillary svc day of discharge
Date: 1/14/04 8:37:37 AM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the Internet
My billing person has a question. Resident received PT on day of
discharge and she wants to know if we can bill for the ancillary svc provided
that day. If the answer is yes could you provide where she might find the
info she needs to do this. Thanx, Faye
