Re: Nursing Facility Intermediate Care
Karl Entenmann
Description
Collection
Title:
Re: Nursing Facility Intermediate Care
Creator:
Karl Entenmann
Date:
1/23/2005
Text:
To Tom and the rest of the list:
This is a question that has come up for me as well. I service a rehab facility that has both Med A and what they call acute rehab. They give me a po and pay me directly for the Med A patients, but they want me to bill Med B for the acute rehab patients. The facility and the supervisor tell me that these patients are not on Med A. Although I generally bill Medicare electronically, I usually bill the acute rehab patients hard copy with a note of explanation stating exactly what the facility has told me. I usually get paid by Medicare, but I wonder if in the future, Medicare will ask for that money back. If anyone on the list has ideas, please let us all know. And remember this only applies to orthotic devices and does not apply to most prosthetic devices (except L5000, casts and cast changes, shrinkers and socks, and a few others) which can be billed directly to Medicare when the patient is under Med A.
Thanks
Karl Entenmann, CPO
Preferred O and P
Federal Way, WA
<Email Address Redacted> wrote:
Hello List
We have been asked to provide orthotic care to a Medicare patient in a
nursing facility. We asked whether the patient was in a skilled bed and were told
that they are in Intermediate Care. It is my understanding that unless the
patient is in Long Term Care, then the facility is obligated to provide the
service directly or through arrangement (purchase order) with another entity. Does
Intermediate Care make a difference?
Tom Heckman CO
This is a question that has come up for me as well. I service a rehab facility that has both Med A and what they call acute rehab. They give me a po and pay me directly for the Med A patients, but they want me to bill Med B for the acute rehab patients. The facility and the supervisor tell me that these patients are not on Med A. Although I generally bill Medicare electronically, I usually bill the acute rehab patients hard copy with a note of explanation stating exactly what the facility has told me. I usually get paid by Medicare, but I wonder if in the future, Medicare will ask for that money back. If anyone on the list has ideas, please let us all know. And remember this only applies to orthotic devices and does not apply to most prosthetic devices (except L5000, casts and cast changes, shrinkers and socks, and a few others) which can be billed directly to Medicare when the patient is under Med A.
Thanks
Karl Entenmann, CPO
Preferred O and P
Federal Way, WA
<Email Address Redacted> wrote:
Hello List
We have been asked to provide orthotic care to a Medicare patient in a
nursing facility. We asked whether the patient was in a skilled bed and were told
that they are in Intermediate Care. It is my understanding that unless the
patient is in Long Term Care, then the facility is obligated to provide the
service directly or through arrangement (purchase order) with another entity. Does
Intermediate Care make a difference?
Tom Heckman CO
Citation
Karl Entenmann, “Re: Nursing Facility Intermediate Care,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/224171.
