billing shirnkers for in-pt
Rick
Description
Collection
Title:
billing shirnkers for in-pt
Creator:
Rick
Date:
11/13/2019
Text:
Good day list,
It is my understanding that shrinkers are part of consolidated billing so that when a person is an in-patient in a hospital or rehab facility we must obtain a purchase order & bill the facility...correct?
Seems to be an area practice by a multi-state, multi-office provider to give shrinkers to persons in facilities without obtaining a PO# only to bill the person's insurance post discharge (seen 1st hand on patient's EOBs & explained to me by a local PT in one of these rehabs). I am thinking this is fraud, but have yet to get a patient to report this behavior. It is obviously detrimental to other providers as when we ask for a PO#, the facility either delays providing the PO until the person is discharged or calls in the company that provides shrinkers for free !!!
Why should we be forced to provide goods for free just because someone else doesn't play by the rules? Mine WOULD be FREE b/c I will not bill the insurance on a fraudulent delivery date.
Any thoughts on a good course of action would be greatly appreciated.
Rick
Rick Milen, CPO/L
NEXSTEP, Inc.
West Lawn, PA&Zombie Buck DesignzBernville, PA
It is my understanding that shrinkers are part of consolidated billing so that when a person is an in-patient in a hospital or rehab facility we must obtain a purchase order & bill the facility...correct?
Seems to be an area practice by a multi-state, multi-office provider to give shrinkers to persons in facilities without obtaining a PO# only to bill the person's insurance post discharge (seen 1st hand on patient's EOBs & explained to me by a local PT in one of these rehabs). I am thinking this is fraud, but have yet to get a patient to report this behavior. It is obviously detrimental to other providers as when we ask for a PO#, the facility either delays providing the PO until the person is discharged or calls in the company that provides shrinkers for free !!!
Why should we be forced to provide goods for free just because someone else doesn't play by the rules? Mine WOULD be FREE b/c I will not bill the insurance on a fraudulent delivery date.
Any thoughts on a good course of action would be greatly appreciated.
Rick
Rick Milen, CPO/L
NEXSTEP, Inc.
West Lawn, PA&Zombie Buck DesignzBernville, PA
Citation
Rick, “billing shirnkers for in-pt,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/209748.
