Eli's Rehab Report
Report These Codes Directly to the SNF
Most diagnostic, therapy services are subject to consolidated billing For Medicare beneficiaries in a Part A covered stay: You must report the technical component (with modifier -TC appended) of the following services directly to the SNF for reimbursement: If you treat Medicare beneficiaries in a Part B stay: You must arrange with the SNF to collect payment for the following services. Note that the following codes do not split into "technical" and "professional" components, so you should bill the SNF directly for the global fee. The CMS Web site www.cms.hhs.gov/medlearn/snfcode.asp provides a full list of the services that fall under Medicare's consolidated billing requirements.
Medicare includes hundreds of services in its consolidated billing requirements -- here are the rehab-related services you need to be aware of.
Eli's Rehab Report
- Select the Appropriate Injection Code in 4 Easy Steps
Hint: Look for these key words in the documentation
Most PM&R practices submit injection claims daily, [...] - Bill SNF Patients' Therapy Directly to Nursing Facility
Don't risk losing $80 or more per claim: follow consolidated billing rules
When skilled nursing [...] - Report These Codes Directly to the SNF
Most diagnostic, therapy services are subject to consolidated billing
Medicare includes hundreds of services in its [...] - Debunk a 99211 Myth -- It's Not Just for Nurses
Learn 99211's requirements to determine whether your visits warrant it
Because PM&R practices often delegate simple [...] - You Be The Coder:
Should We Append -52 to 95860?
Question: When we report EMG code 95860 without testing the paraspinals, should we attach modifier [...] - Reader Question:
Use New Patient Code After Covering
Question: When my physiatrist covers for another local private-practice rehab physician, I code the office [...] - Reader Question:
Base Dorsolateral Nerve Block on Injection Type
Question: What is the best CPT Code for a dorso-lateral sacral nerve branch block?
[...] - Reader Question:
Consults Apply to New and Established Patients
Question: Should I report a consult for an established patient (whom we last saw two [...] - Reader Question:
Test Five Muscles to Report 95860-95864
Question: In your March 2004 article "Don't Forget EMG Guidance With Myobloc Injections," you listed [...]
