Inpatient Medicare Claims
Frontier Orthopedic, Services
Description
Collection
Title:
Inpatient Medicare Claims
Creator:
Frontier Orthopedic, Services
Date:
3/18/2008
Text:
We have been fitting patients in our hospital for well over 15 years. We just recently received a letter from the Purchasing Department of our hospital stating that they will no longer pay for any items that we fit in the hospital.
We have done some research with Medicare and found out that we can bill Medicare only if we deliver the item 2 days prior to discharge and mail the claim in with the discharge date.
We received a call on 3/13 to fit a patient in ICU for a custom TLSO. I explained to the physician the situation. Of course he was upset and was going to talk to the Purchasing Department. I called ICU on 3/14 and apparently our competition was up there measuring for the brace. I called back on 3/15 and patient was being fitted with brace. I called to see if the patient was still in the hospital on 3/17 and he was just on a different floor. This has happened numerous occasions.
My questions are:
How is our competition being able to fit and get paid by Medicare for delivery of a brace that is going to be used in the hospital for longer than 2 days?
Are we misreading the Medicare guidelines? Can we fit a patient who is going to wear the brace prior to the 2 day discharge date?
Thanks for all the help
Hannah, Cfom
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We have done some research with Medicare and found out that we can bill Medicare only if we deliver the item 2 days prior to discharge and mail the claim in with the discharge date.
We received a call on 3/13 to fit a patient in ICU for a custom TLSO. I explained to the physician the situation. Of course he was upset and was going to talk to the Purchasing Department. I called ICU on 3/14 and apparently our competition was up there measuring for the brace. I called back on 3/15 and patient was being fitted with brace. I called to see if the patient was still in the hospital on 3/17 and he was just on a different floor. This has happened numerous occasions.
My questions are:
How is our competition being able to fit and get paid by Medicare for delivery of a brace that is going to be used in the hospital for longer than 2 days?
Are we misreading the Medicare guidelines? Can we fit a patient who is going to wear the brace prior to the 2 day discharge date?
Thanks for all the help
Hannah, Cfom
---------------------------------
Never miss a thing. Make Yahoo your homepage.
Citation
Frontier Orthopedic, Services, “Inpatient Medicare Claims,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/229113.
