Nursing home billing question

[Ruthie1972]

Hello,
If a patient is in a nursing home and they have Medicare, under Part B, can they be billed for laboratory testing separately or will this go under a bundle for nursing home stay?  Will Medicare and Medicaid pay for it separately- the urine screening test?

[Michele]

It depends on if the patient is in the first 100 days of their stay.

[Ruthie1972]

Hi Michele,
If they are in for their first 100 or 101, how would the urine lab test be billed for Medicare? Bundled or the lab can bill separately for it? Thank you

[Michele]

I believe lab fees are included with consolidated billing so the SNF would be responsible.  If you bill it to Medicare Part B they will deny the charges if they are included with the first 100 days.  The SNF should also know.