Medicare Compliance & Reimbursement

Compilation of RAC findings, ZPIC audits, and MAC errors shows you which Part B mistakes you should avoid. Wondering if consolidated billing issues still persist in Medicare's eyes? CMS's "Medicare Quarterly Provider Compliance Newsletter" aims to answer that question by outlining common billing errors, and offers some advice on how to rectify them. Let Modifier 26 be Your Consolidated Billing Friend If your practice sees a fair amount of skilled nursing facility (SNF) patients, the way you bill their services could be attracting attention from RACs. Background: Services provided to SNF patients "are bundled into one package, billed by the SNF, and paid to the SNF," CMS says in its newsletter. "Physicians' professional services are excluded from the SNF consolidated billing (CB), because physicians are responsible for billing for their own services. However, facility-based components of physician services (e.g., those on a salary or percentage arrangement, lessors of departments, etc., [...]