Re: OPINION- DELIVERING A CUSTOM PROSTHETIC TO A SNF PATIENT

Lesleigh Sisson

Description

Title:

Re: OPINION- DELIVERING A CUSTOM PROSTHETIC TO A SNF PATIENT

Creator:

Lesleigh Sisson

Date:

4/16/2021

Text:

*Free Webinar*
* O&P Insight LIVE - Inpatient Billing *
*Learn more about billing while a Medicare Beneficiary *
*is in an inpatient Part A Stay, SNF Billing and the Two Day Rule*

*Time: Apr 22, 2021 08:30 AM Pacific Time (US and Canada)*

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On Wed, Apr 14, 2021 at 11:46 AM Elizabeth Roof < <Email Address Redacted> >
wrote:

> Our office was referred by an orthopedic surgeon to fit a new amputee with
> a prosthesis and we have been working with the SNF facility that the
> patient is in currently to do so. It has come down to delivering out the
> item and we notified the facility that we are unable to deliver a
> prosthesis to a patient in a part A stay in a SNF bed and the facility is
> responsible for the cost of the item. We told them that we cannot give the
> patient the item until 2 days before he is discharged home and they don’t
> understand this. They want to be able to bill for therapy minutes on gait
> training and teaching him how to properly don/doff the prosthesis. The PT
> called the office today and stated that another local O&P facility in the
> area has delivered items out to them before for patients to complete
> therapy still in the SNF part A stay and she doesn’t understand why we
> don’t do the same. I’ve sent her all the items regarding proper Medicare
> billing practices for SNF stay patients on the Noridian Medicare Portal,
> but I am curious if any other facility has run into this same issue and
> what you’ve done to help educate other medical professionals on the billing
> guidelines we are to follow to stay compliant with Medicare. We of course
> want to continue to see the patient regarding his prosthesis as we have
> finished all fabrication, but also want to avoid improper billing
> procedures set forth by the payer.
>
> Any tips or advice would be greatly appreciated!
>
> Thanks in advance!
>
> Liz Roof,
> Billing Supervisor & Office Manager
> 15418 West Center Road
> Omaha, NE 68144
>
> Sent from Mail<
> https://urldefense.proofpoint.com/v2/url?u=https-3A__go.microsoft.com_fwlink_-3FLinkId-3D550986&d=DwIF-g&c=sJ6xIWYx-zLMB3EPkvcnVg&r=KmuawjwNpT9A2bnhzaNVjw8wO7L_TDosEXIk33h_tlw&m=ID3yWvdf1uh_M_DU-QSSZ9WBAUgIEWlS9xJWKx1pKpI&s=xotNuWyR7SCMLV_6tcNiOlEAkZSu0xBulEAOjFl10Rc&e=
> > for Windows 10
>
>
>

Citation

Lesleigh Sisson, “Re: OPINION- DELIVERING A CUSTOM PROSTHETIC TO A SNF PATIENT,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/255491.