Author Topic: SNF, Rehab Facilities - Per Piem Caps! Help!!!  (Read 1532 times)

pvtbiller

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SNF, Rehab Facilities - Per Piem Caps! Help!!!
« on: March 24, 2012, 09:03:44 AM »
I am now billing for a dme supplier who has contracted with a large rehab facility and SNF.  I know that the SNF and rehab are reimburesed as per diem and most care is paid within that per diem cap.  If we were to sell our product to them - a urological device for incontinence - would that be reimbursed outside of the per diem cap because it is dme and paid out of part b or would the SNF and Rehab center  be required to supply this to the patient as part of the per diem cap?  Thank you all for your value advice.

Michele

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Re: SNF, Rehab Facilities - Per Piem Caps! Help!!!
« Reply #1 on: March 26, 2012, 06:37:52 AM »
Many services are considered to be included in the first 100 days of the facility stay.  You should contact the DME carrier to get information on the specific HCPCs code you would be billing.  Or search the LCD's/NCD's to see what information is out there.  It may be allowed separately but you need to check to be sure.
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pvtbiller

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Re: SNF, Rehab Facilities - Per Piem Caps! Help!!!
« Reply #2 on: March 26, 2012, 08:38:46 AM »
Thank you Michelle - Funny - every time I call the carrier, they know nothing about SNF.  Again thank you for your response and valuable advice