I’m working with a hospice provider who provides supplies and nursing care twice a week, approx 6 hours per week total. Medicare is billed for everything. I was reviewing what the company has been charging to medicare and it appears that along with the charges for direct skilled nursing care, the company is billing a daily per diem of $150 under revenue code 0651.
I’m trying to understand why medicare would reimburse the company $150 per day when there is zero level of care being provided by the company outside of the 6 hours already being billed and reimbursed. When they show up, they occasionally take body measurements to estimate the patient’s weight, but that’s it. There is no primary care or care plan for the patient. It’s hospice.
To me it feels like Medicare is paying this company to do absolutely nothing. Would be interested to hear other perspectives.
submitted by /u/billyfinchapel
[link] [comments]
I’m working with a hospice provider who provides supplies and nursing care twice a week, approx 6 hours per week total. Medicare is billed for everything. I was reviewing what the company has been charging to medicare and it appears that along with the charges for direct skilled nursing care, the company is billing a daily per diem of $150 under revenue code 0651. I’m trying to understand why medicare would reimburse the company $150 per day when there is zero level of care being provided by the company outside of the 6 hours already being billed and reimbursed. When they show up, they occasionally take body measurements to estimate the patient’s weight, but that’s it. There is no primary care or care plan for the patient. It’s hospice. To me it feels like Medicare is paying this company to do absolutely nothing. Would be interested to hear other perspectives.
submitted by /u/billyfinchapel [link] [comments]Read Morer/HealthInsurance