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I would like to ask a question about PPS Consolidated Billing in reference to

a pt. receiving Medicare B. in a SNF.... If... the pt. is receiving Speech in

the SNF and a modified barium swallow is ordered. The swallow is then done as

an outpt. at the hospital Speech dept. Am I correct in saying that the SNF is

responsible for the cost of swallow (excluding the MD fee) and goes towards

the 1500 cap OR can the hospital bill Medicare for the outpt. procedure? Am I

correct in saying that if the pt. is covered by Med. A in the SNF and goes to

the hospital for a swallow that the SNF is responsible for the cost? The

reason I am confused is partly because I know certain parts of consolidated

billing for Med. B have been delayed until further notice.

Thanks, Amy SR

ShortE322@...

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