Long-Term Care

Hospice services: Know when and how your facility should bill

Billing Alert for Long-Term Care, January 1, 2009

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Billing can be quite a headache for SNFs when a resident is also receiving hospice care. Facility business departments must be aware of when they are responsible for billing and understand how to use the proper codes and procedures.

Before a nursing home and hospice program do any work together, a contract must be in place. “There are specific things that need to be included in the contract, and one of the areas is billing,” says Cathy Ott, senior editor at Beacon Health, a division of HCPro, in Mequon, WI. “The contract should specify when bills are sent and who pays for what.”

The hospice agency is responsible for billing Medicare for everything related to the terminal diagnosis. However, to be reimbursed for room and board or skilled care unrelated to the terminal diagnosis, SNFs must often submit additional bills.

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Billing Alert for Long-Term Care.

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