Audit Alert: Ambulance Services for Part A SNF Residents

Mon, Sep 14, 2009

Flash

Many ambulance services for Part A SNF residents are being billed to Medicare twice — once to Part A under Consolidated Billing and once to Part B. And that mistake could have caused $12.7 million in improper payments in 2006, says…

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2 Comments For This Post

  1. Janet Selover Says:

    When doing the Wedinar, it would be helpful for you to address the 90 day stay issue. I think CMS is forgetting that after 90 days, the patient no longer has Medicare Part A and we are to bill Medicare Part B. We need to know how to address this and inform Medicare of this at the time of billing so they don’t deny stating pt is in Part A stay.

  2. Editor Says:

    Thanks, Janet. The OIG’s report does address the *100*-day stay issue, and it acknowledges there are lots of communication problems re: when patient goes from Part A to Part B, as you note.

    There has been so much kerfluffle on this topic, I’m going to post a some of the best billing and compliance tips from the Webinar on this blog. Stay tuned …

    Erin Lang Masercola, PhD, CPC
    Editor, InHealthcare.com

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