CMS issues final rule on blood glucose billing
Contemporary Long-Term Care Weekly, November 30, 2006
Bad news abounded for SNFs that bill for frequent blood glucose tests in the 2007 Medicare Physician Fee Schedule (MPFS) Final Rule. Effective January 1, 2007, under the rule, physicians must certify the medical necessity of each blood glucose test furnished to SNF residents-if the SNF submits that finger-stick test for payment under the Medicare Part B clinical laboratory fee schedule. In addition, CMS clarified that a physician's standing order isn't sufficient to bill for a series of blood glucose tests. The 2007 MPFS is available at www.cms.hhs.gov/PhysicianFeeSched/PFSFRN/list.asp.
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