| Type of trip
|
Part B Carrier |
Facility |
| 1.
Initial Admission to SNF |
X |
|
| 2.
Final Discharge from SNF: |
|
|
| 2a.
To home (no return same day) |
X |
|
| 2b. To home (return to same SNF same day) |
|
X |
| 2c. To another SNF, including for elevated level of
care |
|
X* |
| 3. Inpatient Hospital Admission: |
|
|
| 3a. To hospital from SNF admission |
X |
|
| 3b. To SNF from hospital (i.e. discharge) |
X |
|
| 4. Trip to BeneficiaryÕs Home for Medicare Home Health
Services |
X |
|
| 5. Transports to/from dialysis |
X |
|
| 6. Trip to Hospital for Outpatient Services: |
|
|
| 6a. Transports for all services other than those listed
in 6b below, must be billed to the facility, including:
- Physical, Occupational, Speech Therapy
- Diagnostic Tests or Services Routinely Provided
by SNFs
- Evaluation or Treatment Services (other than a
hospital admission or one of the outpatient services
listed in 6b below)
|
|
X
|
| 6b. The following trips to a hospital for outpatient
services should be billed to Part B, if for:
- Emergency
- Cardiac Catherization
- CT Scans
- MRI
- Ambulatory Surgery** Involving Operating Room
(this includes PEG tube procedures, even if performed
in a hospital GI suite or endoscopy
suite)
- Angiography
- Lymphatic and venous procedure
- Radiation therapy
NOTE: ALL SERVICES IN 6B MUST BE PERFORMED
AT THE HOSPITAL (NOT A FREE-STANDING FACILITY) FOR
YOU TO BILL YOUR CARRIER. IF NOT PERFORMED AT THE
HOSPITAL, THE SNF/SWING BED FACILITY IS RESPONSIBLE |
X |
|
| 7. Transports to any Medicare Provider for chemotherapy,
chemotherapy administration, radioisotopes, customized
prosthetic devices, barium swallow, hyperbaric oxygen,
transfusion |
|
X |
| 8. Transports to a physicianÕs office (only during
a Part A stay) |
|
X |
