Thanx
again. I have passed all of the info onto billing dept. IF anyone
gets any other info please pass on. There are times when I don’t
know what I would do without this site. Everyone seems to think I am the local
expert and at times I need helpl!!!!!!!.
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED]
Sent: Monday, January 19, 2004
10:24 AM
To: [EMAIL PROTECTED]
Subject: Re: billing ancillary svc
day of discharge
Even though this excerpt from the
regulation seems clear enough, I'm still not clear on one point. These
ancillary charges from the day of discharge were included in the pre-PPS cost
information that the PPS rates were built on via the cost report. My assumption
is that these ancillary charges still should end up on the cost report, and
that would be via the UB-92 claim form. Maybe the regulation is saying
that it is not permissible to bill Part B for the charges. Does anyone
out there have information from your FI on this?
In the meantime, Faye, I recommend that your biller contact your facility's FI
and find out if the charges should be on the UB. While it is true that
the facility will not be reimbursed for these charges, all allowable costs as
reflected on all facilities' cost reports will be analyzed nationally to
determine if PPS rates should be increased. If we don't capture all
costs, we are hurting ourselves. (Okay, I won't get started on my soapbox
about how eliminating Medicare certified units dilutes the costs...)
Rena
Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]
Subj:
RE: billing ancillary svc day of discharge
Date: 1/19/04 2:47:31 AM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the Internet
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
