Business Network New York
Companies:51,220
Products and Services:2,875
Articles and publications:31,146 (+2)
Tenders & Vacancies:17

Basics of Medicare Consolidated Billing for SNFs
Information may not be reliable

Basics of Medicare Consolidated Billing for SNFs
10/13/2022
To get more information about Medicare Consolidated Billing for SNFs click here: https://bit. ly/3vmPAjQ. Get in touch with us at: info@medicalbillersandcoders. com/ 888-357-3226.

 

Need for Consolidated Billing for SNFs

Prior to the Balanced Budget Act of 1997 (BBA), a Skilled Nursing Facility (SNF) could elect to furnish services to a resident in a covered Part A stay, either, directly using its own resources; through the SNF's transfer agreement hospital; or under arrangements with an independent therapist (for physical, occupational, and speech therapy services). In each of these circumstances, the SNF billed Medicare Part A for the services.

However, the SNF also had the further option of ‘unbundling’ a service altogether; that is, the SNF could permit an outside supplier to furnish the service directly to the resident, and the outside supplier would submit a bill to Medicare Part B, without any involvement of the SNF itself.

This practice created several problems, including the following:

  • Potential for duplicate (Parts A/B) billing if both the SNF and outside supplier billed;
  • An increased out-of-pocket liability incurred by the beneficiary for the Part B deductible and coinsurance even if only the supplier billed; and
  • A dispersal of responsibility for resident care among various outside suppliers adversely affected quality (coordination of care) and program integrity

Then Balanced Budget Act of 1997 (BBA), was enacted, containing a Consolidated Billing (CB) requirement for SNFs. Under the CB requirement, an SNF itself must submit all Medicare claims for the services that its residents receive. Conceptually, SNF CB resembles the bundling requirement for inpatient hospital services that's been in effect since the early 1980s, assigning to the facility itself the Medicare billing responsibility for virtually the entire package of services that a facility resident receives, except for certain services that are specifically excluded.

To get more information about Medicare Consolidated Billing for SNFs click here: https://bit.ly/3vmPAjQ. Get in touch with us at: info@medicalbillersandcoders.com/ 888-357-3226.

view all (185)

Other articles and publications:

Here our medical billing and coding experts shared the Basics of Medicare Payment for Ambulatory Surgical Services.
4/6/2023
In this blog, we tried to cover every aspect of billing for surgical assistants including defining surgical assistants and billing guidelines.
3/2/2023
Medicare SNF Billing Coverage 2022 Medicare SNF Billing Coverage 2022
Information is out of date
In this article, we bifurcated Medicare SNF billing coverage for Medicare part A, Medicare part B, Original Medicare, and Medicare Advantage.
3/20/2023
Here we understand the basics of neurology billing and how healthcare providers can optimize their reimbursement for neurology services.
5/10/2023
In this article, we shared key behavioral health billing updates from CY 2023 MPFS which would act as a baseline for your billing.
2/23/2023
For Medicare skilled nursing facilities Learn about consolidated billing requirements on claims for Medicare Part A and B payments. Contact us at info@medicalbillersandcoders. com/ 888-357-3226.
8/24/2022

Articles and publications of other companies:

Medicare Supplement Health Insurance Plan -
Information may not be reliable
No matter what type of supplemental health insurance plan you choose, you can feel secure knowing that you and your family are getting the highest quality care possible at a price that you.
4/9/2021
Prospect Medical Holdings Inc. is one of the largest providers of health care services across the USA serving patients for more than a decade.
6/8/2022
Do you want to study MBBS in Philippines? Are you wondering which college to opt for?
12/8/2019
The right illumination at the sports court is important to keep the players comfortable all through the play.
1/30/2020
The therapy centre has many levels of access. It has four elevators to provide easy access for everyone. There is even an elevator to the ground level.
6/13/2020
Backing. If the wall is weak, you can damage your carpeting and even have it ripped up. Before you begin the stretching process, you should test it by walking on it before you begin the stretching.
9/25/2020
Business details
  • +1 (888) 357-3226
  • 108 West, 13th street, Wilmington, DE 19801
We are the leading Medical Billing Services Outsourcing Company qualified and competent to address diverse medical specialties over 2 decades now in the USA.
×