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RE: Part B in a SNF

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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@...

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Guest guest

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> .(B)

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Guest guest

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> .(B)

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Guest guest

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@...(B)

>

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Guest guest

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@...(B)

>

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Guest guest

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@...(B)

>

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Guest guest

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> .(B)

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Guest guest

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> .(B)

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Guest guest

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> .(B)

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Guest guest

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@....(B)

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Guest guest

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@....(B)

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Guest guest

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

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Guest guest

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> .(B)

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Guest guest

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

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> 8114 NW 100th Terrace, Tamarac, FL 33321-1259

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> 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

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> We specialize in consulting services, seminars and customized education

> services to providers of Medicare rehabilitation therapy and related

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> 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

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> 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)

>

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