Responses to Billing Prosthetics in SNF
Description
Collection
Title:
Responses to Billing Prosthetics in SNF
Text:
Posted Question
It is my understanding that we can now provide prosthetic care in nursing
>homes. I just received a prosthetic order for a medicare patient in a SNF.
>Am I correct that medicare can be billed for this prosthesis??
>
RESPONSES
There are specific prosthetic codes that are excepted from the PPS rules.
Prosthetic socks are not among them.
Under Part B, you are OK.
Yes Dave-- as of April 1,2000 You can bill medicare B for a prosthesis
provided for a patient in Nursing home that is currently under Medicare A
coverage for all other care. This is not true for orthotic services
Please post an answer if you get one because I was
under the impression that the three day rule still
is in effect. This is a vital issue to all of us who
have experienced the refusal of SNF's to play by the
rules for their patients
Yes, as long as your date of service is on or after April 1, 2000 and the
codes you use are on the list of codes excluded from SNF PPS. You can find
these in the AOPA In Advance of May 23, 2000.
It is my understanding that we can now provide prosthetic care in nursing
>homes. I just received a prosthetic order for a medicare patient in a SNF.
>Am I correct that medicare can be billed for this prosthesis??
>
RESPONSES
There are specific prosthetic codes that are excepted from the PPS rules.
Prosthetic socks are not among them.
Under Part B, you are OK.
Yes Dave-- as of April 1,2000 You can bill medicare B for a prosthesis
provided for a patient in Nursing home that is currently under Medicare A
coverage for all other care. This is not true for orthotic services
Please post an answer if you get one because I was
under the impression that the three day rule still
is in effect. This is a vital issue to all of us who
have experienced the refusal of SNF's to play by the
rules for their patients
Yes, as long as your date of service is on or after April 1, 2000 and the
codes you use are on the list of codes excluded from SNF PPS. You can find
these in the AOPA In Advance of May 23, 2000.
Citation
“Responses to Billing Prosthetics in SNF,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 7, 2024, https://library.drfop.org/items/show/214438.
