Long-Term Care

Payment bans: Managing the procedure

Billing Alert for Long-Term Care, April 1, 2010

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The better equipped to handle the challenges that result from a payment ban, the easier a SNF can navigate any complications and the quicker the facility can work through the ban to return to normal reimbursement standing with Medicare Part A.

A ban will not be lifted by CMS until the SNF can prove that it is up to code. That could take as little as a day or two, or as long as a few months, says Theresa Lang, vice president of clinical services at Specialized Medical Services, Inc., in Milwaukee.
It all depends on the facility’s response.

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