RE: consolidated billing question

[Faye Jones]

The only other piece of the puzzle is be sure they are not billing you for something that would normally be included in the per visit fee for example a post surgical follow up visit would include removal of sutures.   -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of carol maher Sent: Monday, February 16, 2004 2:53 PM To: [EMAIL PROTECTED] Subject: Re: consolidated billing question   The good news is that your facility is NOT responsible for the physicians professional part of the bill.  In other words, the doctor's fee for the visit.  However, the facility is probably responsible for the ultrasound and any treatment done by the wound doctor.  There is a list of procedures that are exclusions from Medicare PPS on the AANAC site.  The updated list of exclusions is presently the top entry on the left hand column of the AANAC site, called "Consolidated billing update 2004" .  That update lists all of the exclusions from PPS.  Any exclusion listed is NOT the responisiblity of the facility.  So, if the procedure's HCPCS code is not present on the consolidated billing transmittal, then the facility is responsible for the bill. ----- Original Message ----- From: Gail Hinshaw To: [EMAIL PROTECTED] Sent: Sunday, February 15, 2004 5:40 PM Subject: consolidated billing question   We just admitted a resident to our Medicare census who is a dialysis patient with wound care.  She had to go to a surgeon yesterday for an ultrasound for a graph placement.  She is also being seen by a Wound Doctor.  Are we responsible for these charges? We think we are. Thanks for any help.