Guest guest Posted June 18, 2011 Report Share Posted June 18, 2011 Hi, Meryl - As I recall, a SNF may bill for its own residents under Part B, but may not bill for other Part B beneficiaries who are not residents. The hospital, as a different provider type, might be able to see the ALF's Part B residents. A Home Health Agency is yet one more provider type, and may bill for those Part B residents who aren't homebound. Dick Hillyer, DPT Dr. Hillyer, PT,DPT,MBA,MSM Hillyer Consulting Cape Coral, FL 33914 _____ From: PTManager [mailto:PTManager ] On Behalf Of Freeman, Meryl Sent: Saturday, June 18, 2011 8:08 AM To: PTManager Subject: Part B in a SNF Hi group. Our hospital has a SNF located right next door to an independent living facility. They were asking if the SNF, who does do some Part B for residents, could take outpatients from outside the SNF. Is this possible? If so, is there anything different on the billing side? Regulatory/paperwork side? Or do we bill just like a traditional outpatient? Thanks in advance. Meryl Freeman, MS PT Manager, Rex Hospital Outpatient Rehab Meryl W. Freeman, MS PT Manager, Outpatient Rehab (919)784-4676 (office) (919)621-3787 (cell) ----- Confidentiality Notice ----- This e-mail and any attached documents contain confidential information belonging to the sending entity, Rex Healthcare, and is intended only for the use of the individual(s) or entity(s) associated with the recipient addresses listed in the message header. The authorized recipient of this information is prohibited from disclosing this information to any other party. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or action taken in reliance on the contents of the email and/or attachments is strictly prohibited. If you received this e-mail transmission in error, please notify the sender immediately to arrange for return or destruction of this information. To report abuse or inappropriate use, please email abuse@... <mailto:abuse%40rexhealth.com> .( Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 18, 2011 Report Share Posted June 18, 2011 Hi, Meryl - As I recall, a SNF may bill for its own residents under Part B, but may not bill for other Part B beneficiaries who are not residents. The hospital, as a different provider type, might be able to see the ALF's Part B residents. A Home Health Agency is yet one more provider type, and may bill for those Part B residents who aren't homebound. Dick Hillyer, DPT Dr. Hillyer, PT,DPT,MBA,MSM Hillyer Consulting Cape Coral, FL 33914 _____ From: PTManager [mailto:PTManager ] On Behalf Of Freeman, Meryl Sent: Saturday, June 18, 2011 8:08 AM To: PTManager Subject: Part B in a SNF Hi group. Our hospital has a SNF located right next door to an independent living facility. They were asking if the SNF, who does do some Part B for residents, could take outpatients from outside the SNF. Is this possible? If so, is there anything different on the billing side? Regulatory/paperwork side? Or do we bill just like a traditional outpatient? Thanks in advance. Meryl Freeman, MS PT Manager, Rex Hospital Outpatient Rehab Meryl W. Freeman, MS PT Manager, Outpatient Rehab (919)784-4676 (office) (919)621-3787 (cell) ----- Confidentiality Notice ----- This e-mail and any attached documents contain confidential information belonging to the sending entity, Rex Healthcare, and is intended only for the use of the individual(s) or entity(s) associated with the recipient addresses listed in the message header. The authorized recipient of this information is prohibited from disclosing this information to any other party. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or action taken in reliance on the contents of the email and/or attachments is strictly prohibited. If you received this e-mail transmission in error, please notify the sender immediately to arrange for return or destruction of this information. To report abuse or inappropriate use, please email abuse@... <mailto:abuse%40rexhealth.com> .( Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 18, 2011 Report Share Posted June 18, 2011 Hi, Meryl - As I recall, a SNF may bill for its own residents under Part B, but may not bill for other Part B beneficiaries who are not residents. The hospital, as a different provider type, might be able to see the ALF's Part B residents. A Home Health Agency is yet one more provider type, and may bill for those Part B residents who aren't homebound. Dick Hillyer, DPT Dr. Hillyer, PT,DPT,MBA,MSM Hillyer Consulting Cape Coral, FL 33914 _____ From: PTManager [mailto:PTManager ] On Behalf Of Freeman, Meryl Sent: Saturday, June 18, 2011 8:08 AM To: PTManager Subject: Part B in a SNF Hi group. Our hospital has a SNF located right next door to an independent living facility. They were asking if the SNF, who does do some Part B for residents, could take outpatients from outside the SNF. Is this possible? If so, is there anything different on the billing side? Regulatory/paperwork side? Or do we bill just like a traditional outpatient? Thanks in advance. Meryl Freeman, MS PT Manager, Rex Hospital Outpatient Rehab Meryl W. Freeman, MS PT Manager, Outpatient Rehab (919)784-4676 (office) (919)621-3787 (cell) ----- Confidentiality Notice ----- This e-mail and any attached documents contain confidential information belonging to the sending entity, Rex Healthcare, and is intended only for the use of the individual(s) or entity(s) associated with the recipient addresses listed in the message header. The authorized recipient of this information is prohibited from disclosing this information to any other party. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or action taken in reliance on the contents of the email and/or attachments is strictly prohibited. If you received this e-mail transmission in error, please notify the sender immediately to arrange for return or destruction of this information. To report abuse or inappropriate use, please email abuse@... <mailto:abuse%40rexhealth.com> .( Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2011 Report Share Posted June 19, 2011 Depends on the state, the licensing requirements of that state, and the licensing requirements of your state board. In Texas, a SNF can see any patients in their facility (even if ILF or ALF) for part B, but that SNF has to licensed with the boards as a separate outpatient clinic separate from the SNF which is regulated by the state. Terry Stegman, MS, PT Dallas, TX > > Hi group. Our hospital has a SNF located right next door to an independent living facility. They were asking if the SNF, who does do some Part B for residents, could take outpatients from outside the SNF. > > Is this possible? If so, is there anything different on the billing side? Regulatory/paperwork side? Or do we bill just like a traditional outpatient? Thanks in advance. > > Meryl Freeman, MS PT > Manager, Rex Hospital Outpatient Rehab > > > > Meryl W. Freeman, MS PT > Manager, Outpatient Rehab > (919)784-4676 (office) > (919)621-3787 (cell) > > > ----- Confidentiality Notice ----- > This e-mail and any attached documents contain confidential information > belonging to the sending entity, Rex Healthcare, and is intended only for the > use of the individual(s) or entity(s) associated with the recipient addresses > listed in the message header. The authorized recipient of this information is > prohibited from disclosing this information to any other party. If you are not > the intended recipient, you are hereby notified that any disclosure, copying, > distribution or action taken in reliance on the contents of the email and/or > attachments is strictly prohibited. If you received this e-mail transmission in > error, please notify the sender immediately to arrange for return or > destruction of this information. > > To report abuse or inappropriate use, please email abuse@...( > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2011 Report Share Posted June 19, 2011 Depends on the state, the licensing requirements of that state, and the licensing requirements of your state board. In Texas, a SNF can see any patients in their facility (even if ILF or ALF) for part B, but that SNF has to licensed with the boards as a separate outpatient clinic separate from the SNF which is regulated by the state. Terry Stegman, MS, PT Dallas, TX > > Hi group. Our hospital has a SNF located right next door to an independent living facility. They were asking if the SNF, who does do some Part B for residents, could take outpatients from outside the SNF. > > Is this possible? If so, is there anything different on the billing side? Regulatory/paperwork side? Or do we bill just like a traditional outpatient? Thanks in advance. > > Meryl Freeman, MS PT > Manager, Rex Hospital Outpatient Rehab > > > > Meryl W. Freeman, MS PT > Manager, Outpatient Rehab > (919)784-4676 (office) > (919)621-3787 (cell) > > > ----- Confidentiality Notice ----- > This e-mail and any attached documents contain confidential information > belonging to the sending entity, Rex Healthcare, and is intended only for the > use of the individual(s) or entity(s) associated with the recipient addresses > listed in the message header. The authorized recipient of this information is > prohibited from disclosing this information to any other party. If you are not > the intended recipient, you are hereby notified that any disclosure, copying, > distribution or action taken in reliance on the contents of the email and/or > attachments is strictly prohibited. If you received this e-mail transmission in > error, please notify the sender immediately to arrange for return or > destruction of this information. > > To report abuse or inappropriate use, please email abuse@...( > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 19, 2011 Report Share Posted June 19, 2011 Depends on the state, the licensing requirements of that state, and the licensing requirements of your state board. In Texas, a SNF can see any patients in their facility (even if ILF or ALF) for part B, but that SNF has to licensed with the boards as a separate outpatient clinic separate from the SNF which is regulated by the state. Terry Stegman, MS, PT Dallas, TX > > Hi group. Our hospital has a SNF located right next door to an independent living facility. They were asking if the SNF, who does do some Part B for residents, could take outpatients from outside the SNF. > > Is this possible? If so, is there anything different on the billing side? Regulatory/paperwork side? Or do we bill just like a traditional outpatient? Thanks in advance. > > Meryl Freeman, MS PT > Manager, Rex Hospital Outpatient Rehab > > > > Meryl W. Freeman, MS PT > Manager, Outpatient Rehab > (919)784-4676 (office) > (919)621-3787 (cell) > > > ----- Confidentiality Notice ----- > This e-mail and any attached documents contain confidential information > belonging to the sending entity, Rex Healthcare, and is intended only for the > use of the individual(s) or entity(s) associated with the recipient addresses > listed in the message header. The authorized recipient of this information is > prohibited from disclosing this information to any other party. If you are not > the intended recipient, you are hereby notified that any disclosure, copying, > distribution or action taken in reliance on the contents of the email and/or > attachments is strictly prohibited. If you received this e-mail transmission in > error, please notify the sender immediately to arrange for return or > destruction of this information. > > To report abuse or inappropriate use, please email abuse@...( > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 20, 2011 Report Share Posted June 20, 2011 We have an Outpatient " attached " to our SNF. In Alabama the regs that we had to go through to accomplish this were long and seemed neverending because Medicare and the state had no other facility in which to base its credentialing/ regulations. I believe there is only one other facility in Alabama that has done this set up. I believe as posted earlier the SNF can see the SNF part Bs but not the ALF. Pamela J. Harbert, LPTA Director of Therapy Services Henry County Health and Rehab 212 Dothan Road Abbeville, AL 36310 Phone: (334)585-2241 ext. 2206 " Excellence is not a skill. It is an attitude. " From: PTManager [mailto:PTManager ] On Behalf Of Freeman, Meryl Sent: Saturday, June 18, 2011 7:08 AM To: PTManager Subject: Part B in a SNF Hi group. Our hospital has a SNF located right next door to an independent living facility. They were asking if the SNF, who does do some Part B for residents, could take outpatients from outside the SNF. Is this possible? If so, is there anything different on the billing side? Regulatory/paperwork side? Or do we bill just like a traditional outpatient? Thanks in advance. Meryl Freeman, MS PT Manager, Rex Hospital Outpatient Rehab Meryl W. Freeman, MS PT Manager, Outpatient Rehab (919)784-4676 (office) (919)621-3787 (cell) ----- Confidentiality Notice ----- This e-mail and any attached documents contain confidential information belonging to the sending entity, Rex Healthcare, and is intended only for the use of the individual(s) or entity(s) associated with the recipient addresses listed in the message header. The authorized recipient of this information is prohibited from disclosing this information to any other party. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or action taken in reliance on the contents of the email and/or attachments is strictly prohibited. If you received this e-mail transmission in error, please notify the sender immediately to arrange for return or destruction of this information. To report abuse or inappropriate use, please email abuse@... <mailto:abuse%40rexhealth.com> .( Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 20, 2011 Report Share Posted June 20, 2011 We have an Outpatient " attached " to our SNF. In Alabama the regs that we had to go through to accomplish this were long and seemed neverending because Medicare and the state had no other facility in which to base its credentialing/ regulations. I believe there is only one other facility in Alabama that has done this set up. I believe as posted earlier the SNF can see the SNF part Bs but not the ALF. Pamela J. Harbert, LPTA Director of Therapy Services Henry County Health and Rehab 212 Dothan Road Abbeville, AL 36310 Phone: (334)585-2241 ext. 2206 " Excellence is not a skill. It is an attitude. " From: PTManager [mailto:PTManager ] On Behalf Of Freeman, Meryl Sent: Saturday, June 18, 2011 7:08 AM To: PTManager Subject: Part B in a SNF Hi group. Our hospital has a SNF located right next door to an independent living facility. They were asking if the SNF, who does do some Part B for residents, could take outpatients from outside the SNF. Is this possible? If so, is there anything different on the billing side? Regulatory/paperwork side? Or do we bill just like a traditional outpatient? Thanks in advance. Meryl Freeman, MS PT Manager, Rex Hospital Outpatient Rehab Meryl W. Freeman, MS PT Manager, Outpatient Rehab (919)784-4676 (office) (919)621-3787 (cell) ----- Confidentiality Notice ----- This e-mail and any attached documents contain confidential information belonging to the sending entity, Rex Healthcare, and is intended only for the use of the individual(s) or entity(s) associated with the recipient addresses listed in the message header. The authorized recipient of this information is prohibited from disclosing this information to any other party. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or action taken in reliance on the contents of the email and/or attachments is strictly prohibited. If you received this e-mail transmission in error, please notify the sender immediately to arrange for return or destruction of this information. To report abuse or inappropriate use, please email abuse@... <mailto:abuse%40rexhealth.com> .( Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 20, 2011 Report Share Posted June 20, 2011 We have an Outpatient " attached " to our SNF. In Alabama the regs that we had to go through to accomplish this were long and seemed neverending because Medicare and the state had no other facility in which to base its credentialing/ regulations. I believe there is only one other facility in Alabama that has done this set up. I believe as posted earlier the SNF can see the SNF part Bs but not the ALF. Pamela J. Harbert, LPTA Director of Therapy Services Henry County Health and Rehab 212 Dothan Road Abbeville, AL 36310 Phone: (334)585-2241 ext. 2206 " Excellence is not a skill. It is an attitude. " From: PTManager [mailto:PTManager ] On Behalf Of Freeman, Meryl Sent: Saturday, June 18, 2011 7:08 AM To: PTManager Subject: Part B in a SNF Hi group. Our hospital has a SNF located right next door to an independent living facility. They were asking if the SNF, who does do some Part B for residents, could take outpatients from outside the SNF. Is this possible? If so, is there anything different on the billing side? Regulatory/paperwork side? Or do we bill just like a traditional outpatient? Thanks in advance. Meryl Freeman, MS PT Manager, Rex Hospital Outpatient Rehab Meryl W. Freeman, MS PT Manager, Outpatient Rehab (919)784-4676 (office) (919)621-3787 (cell) ----- Confidentiality Notice ----- This e-mail and any attached documents contain confidential information belonging to the sending entity, Rex Healthcare, and is intended only for the use of the individual(s) or entity(s) associated with the recipient addresses listed in the message header. The authorized recipient of this information is prohibited from disclosing this information to any other party. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or action taken in reliance on the contents of the email and/or attachments is strictly prohibited. If you received this e-mail transmission in error, please notify the sender immediately to arrange for return or destruction of this information. To report abuse or inappropriate use, please email abuse@... <mailto:abuse%40rexhealth.com> .( Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 20, 2011 Report Share Posted June 20, 2011 Meryl, It is helpful to indicate where you are located. I have no idea where Rex Hospital is. SNF can see outpatients and bill Medicare Part B as long as certain conditions are met. An SNF is licensed by your state and by the federal government. In addition it is " Certified " as a Medicare provider. Not knowing your state and what its regulations are we can only speak to the Medicare Certification. Your SNF license will indicate what services you are certified for. Look for the designation " Optional Services " on the license. The SNF can bill Medicare B if Optional Services - Outpatient is on the license. The specific Optional Services certified will be listed, typically Physical Therapy, Occupational Therapy, Speech Language Pathology, Social Services. If this is on your license, then Medicare has certified these services for outpatient and anyone from outside the SNF can be treated and services billed, including residents of an assisted living. If your facility does not have this designation it can apply for it. In most states the state agency that does state licensing surveys also contracts with the federal government to do Medicare certification. You will need to submit a “Change of status” application (sorry I do not remember its name) to your state agency and may also need to submit the CMS-855A form. Having said this it is important to understand what your state regulations are. There may be other requirements or restrictions. I hope this is helpful. Feel free to contact me at this e-mail if you have further questions. Ron Wall Axiom Healthcare Group Ontario, CA To: PTManager From: Meryl.Freeman@... Date: Sat, 18 Jun 2011 08:07:50 -0400 Subject: Part B in a SNF Hi group. Our hospital has a SNF located right next door to an independent living facility. They were asking if the SNF, who does do some Part B for residents, could take outpatients from outside the SNF. Is this possible? If so, is there anything different on the billing side? Regulatory/paperwork side? Or do we bill just like a traditional outpatient? Thanks in advance. Meryl Freeman, MS PT Manager, Rex Hospital Outpatient Rehab Meryl W. Freeman, MS PT Manager, Outpatient Rehab (919)784-4676 (office) (919)621-3787 (cell) ----- Confidentiality Notice ----- This e-mail and any attached documents contain confidential information belonging to the sending entity, Rex Healthcare, and is intended only for the use of the individual(s) or entity(s) associated with the recipient addresses listed in the message header. The authorized recipient of this information is prohibited from disclosing this information to any other party. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or action taken in reliance on the contents of the email and/or attachments is strictly prohibited. If you received this e-mail transmission in error, please notify the sender immediately to arrange for return or destruction of this information. To report abuse or inappropriate use, please email abuse@....( Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 21, 2011 Report Share Posted June 21, 2011 We are in Raleigh, NC- Thanks to you and others for the advice. I will pass on the info to our SNF folks. Best, Meryl W. Freeman, MS PT Manager, Rex Hospital Outpatient Rehab Raleigh, NC Part B in a SNF Hi group. Our hospital has a SNF located right next door to an independent living facility. They were asking if the SNF, who does do some Part B for residents, could take outpatients from outside the SNF. Is this possible? If so, is there anything different on the billing side? Regulatory/paperwork side? Or do we bill just like a traditional outpatient? Thanks in advance. Meryl Freeman, MS PT Manager, Rex Hospital Outpatient Rehab Meryl W. Freeman, MS PT Manager, Outpatient Rehab (919)784-4676 (office) (919)621-3787 (cell) ----- Confidentiality Notice ----- This e-mail and any attached documents contain confidential information belonging to the sending entity, Rex Healthcare, and is intended only for the use of the individual(s) or entity(s) associated with the recipient addresses listed in the message header. The authorized recipient of this information is prohibited from disclosing this information to any other party. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or action taken in reliance on the contents of the email and/or attachments is strictly prohibited. If you received this e-mail transmission in error, please notify the sender immediately to arrange for return or destruction of this information. To report abuse or inappropriate use, please email abuse@....( Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2011 Report Share Posted June 22, 2011 Hi everyone, I am a Part B Provider and I have received an order from a physician to do a wheelchair assessment on a patient. I find out the patient is in a nursing home and is a resident there. Am I allowed to do an evaluation and bill Medicare for it? Thanks for your input! , PT Therapeutic Interventions of West FL Clearwater, FL Part B in a SNF Hi group. Our hospital has a SNF located right next door to an independent living facility. They were asking if the SNF, who does do some Part B for residents, could take outpatients from outside the SNF. Is this possible? If so, is there anything different on the billing side? Regulatory/paperwork side? Or do we bill just like a traditional outpatient? Thanks in advance. Meryl Freeman, MS PT Manager, Rex Hospital Outpatient Rehab Meryl W. Freeman, MS PT Manager, Outpatient Rehab (919)784-4676 (office) (919)621-3787 (cell) ----- Confidentiality Notice ----- This e-mail and any attached documents contain confidential information belonging to the sending entity, Rex Healthcare, and is intended only for the use of the individual(s) or entity(s) associated with the recipient addresses listed in the message header. The authorized recipient of this information is prohibited from disclosing this information to any other party. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or action taken in reliance on the contents of the email and/or attachments is strictly prohibited. If you received this e-mail transmission in error, please notify the sender immediately to arrange for return or destruction of this information. To report abuse or inappropriate use, please email abuse@....( Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2011 Report Share Posted June 22, 2011 Hi , If the patient is a resident in the non-skilled portion of the SNF, i.e. long-term residential or Nursing Home, then, provided the SNF allows, you can treat the patient and bill Medicare. True outpatients in the SNF are those who reside in a non-skilled part and can be treated and billed by a provider other than the SNF. If the patient is a resident in the skilled portion of the SNF, then they come under consolidated billing and only the SNF can bill for their services. However, if you have the skills and the SNF staff do not and the SNF wants to reimburse you for your services, then you can see the resident, the SNF bills Medicare and reimburses you accordingly. Hope this helps, ine ine M. o, PT Owner Encompass Consulting & Education, LLC 8114 NW 100th Terrace, Tamarac, FL 33321-1259 We work hard to make sure you are " getting it right from the start " . Visit our website at <http://www.encompassmedicare.com/> www.encompassmedicare.com and see what we can do for you. While there sign up for our free e-mail Newsletter " Medicare News and Rules for Therapists " . We specialize in consulting services, seminars and customized education services to providers of Medicare rehabilitation therapy and related services. NOTICE: This communication is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this communication is not the intended recipient or the employee or agent responsible for delivering the communication, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify me immediately by replying to this email. From: PTManager [mailto:PTManager ] On Behalf Of Sent: Wednesday, June 22, 2011 7:58 AM To: PTManager Subject: RE: Part B in a SNF Hi everyone, I am a Part B Provider and I have received an order from a physician to do a wheelchair assessment on a patient. I find out the patient is in a nursing home and is a resident there. Am I allowed to do an evaluation and bill Medicare for it? Thanks for your input! , PT Therapeutic Interventions of West FL Clearwater, FL Part B in a SNF Hi group. Our hospital has a SNF located right next door to an independent living facility. They were asking if the SNF, who does do some Part B for residents, could take outpatients from outside the SNF. Is this possible? If so, is there anything different on the billing side? Regulatory/paperwork side? Or do we bill just like a traditional outpatient? Thanks in advance. Meryl Freeman, MS PT Manager, Rex Hospital Outpatient Rehab Meryl W. Freeman, MS PT Manager, Outpatient Rehab (919)784-4676 (office) (919)621-3787 (cell) ----- Confidentiality Notice ----- This e-mail and any attached documents contain confidential information belonging to the sending entity, Rex Healthcare, and is intended only for the use of the individual(s) or entity(s) associated with the recipient addresses listed in the message header. The authorized recipient of this information is prohibited from disclosing this information to any other party. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or action taken in reliance on the contents of the email and/or attachments is strictly prohibited. If you received this e-mail transmission in error, please notify the sender immediately to arrange for return or destruction of this information. To report abuse or inappropriate use, please email abuse@... <mailto:abuse%40rexhealth.com> .( Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2011 Report Share Posted June 22, 2011 Thanks for the reply ine! That was very helpful! , PT Therapeutic Interventions of West Florida, Inc Cleawater, FL On Jun 22, 2011, at 10:50 AM, " ine o " wrote: > Hi , > > If the patient is a resident in the non-skilled portion of the SNF, i.e. > long-term residential or Nursing Home, then, provided the SNF allows, you > can treat the patient and bill Medicare. True outpatients in the SNF are > those who reside in a non-skilled part and can be treated and billed by a > provider other than the SNF. If the patient is a resident in the skilled > portion of the SNF, then they come under consolidated billing and only the > SNF can bill for their services. However, if you have the skills and the SNF > staff do not and the SNF wants to reimburse you for your services, then you > can see the resident, the SNF bills Medicare and reimburses you accordingly. > > Hope this helps, > > ine > > > > ine M. o, PT > > Owner > > Encompass Consulting & Education, LLC > > 8114 NW 100th Terrace, Tamarac, FL 33321-1259 > > > > > > We work hard to make sure you are " getting it right from the start " . Visit > our website at <http://www.encompassmedicare.com/> > www.encompassmedicare.com and see what we can do for you. While there sign > up for our free e-mail Newsletter " Medicare News and Rules for Therapists " . > > We specialize in consulting services, seminars and customized education > services to providers of Medicare rehabilitation therapy and related > services. > > > > NOTICE: This communication is intended only for the use of the individual or > entity to which it is addressed and may contain information that is > privileged, confidential and exempt from disclosure under applicable law. If > the reader of this communication is not the intended recipient or the > employee or agent responsible for delivering the communication, you are > hereby notified that any dissemination, distribution or copying of this > communication is strictly prohibited. If you have received this > communication in error, please notify me immediately by replying to this > email. > > > > > > > > From: PTManager [mailto:PTManager ] On Behalf > Of > Sent: Wednesday, June 22, 2011 7:58 AM > To: PTManager > Subject: RE: Part B in a SNF > > > > > > Hi everyone, > > I am a Part B Provider and I have received an order from a physician to do a > wheelchair assessment on a patient. I find out the patient is in a nursing > home and is a resident there. Am I allowed to do an evaluation and bill > Medicare for it? Thanks for your input! > > , PT > Therapeutic Interventions of West FL > Clearwater, FL > > Part B in a SNF > > Hi group. Our hospital has a SNF located right next door to an > independent living facility. They were asking if the SNF, who does do > some Part B for residents, could take outpatients from outside the SNF. > > Is this possible? If so, is there anything different on the billing > side? Regulatory/paperwork side? Or do we bill just like a traditional > outpatient? Thanks in advance. > > Meryl Freeman, MS PT > Manager, Rex Hospital Outpatient Rehab > > Meryl W. Freeman, MS PT > Manager, Outpatient Rehab > (919)784-4676 (office) > (919)621-3787 (cell) > > ----- Confidentiality Notice ----- > This e-mail and any attached documents contain confidential information > belonging to the sending entity, Rex Healthcare, and is intended only > for the > use of the individual(s) or entity(s) associated with the recipient > addresses > listed in the message header. The authorized recipient of this > information is > prohibited from disclosing this information to any other party. If you > are not > the intended recipient, you are hereby notified that any disclosure, > copying, > distribution or action taken in reliance on the contents of the email > and/or > attachments is strictly prohibited. If you received this e-mail > transmission in > error, please notify the sender immediately to arrange for return or > destruction of this information. > > To report abuse or inappropriate use, please email > abuse@... <mailto:abuse%40rexhealth.com> .( > > > > Quote Link to comment Share on other sites More sharing options...
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