Correction on Medicare Billing

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From:"D. Hammer" <hammerd@u.washington.edu>
To:Histonet <histonet@Pathology.swmed.edu>
Reply-To:
Date:Sat, 27 Mar 1999 08:19:13 -0800 (PST)
Content-Type:TEXT/PLAIN; charset=US-ASCII


Histonetters,

A couple of months ago, in response to a discussion on Medicare Billing, I
posted our way of handling the 72 hour rule when receiving specimens from
outside clients.  (I stated to comply with the Rules we were going to have
to bill the institution for the Technical Component on these as the
payment is included in the DRG paid to the orriginating Hospital.)

More recent information (an overlooked Rule) has cleared the air.  When
the DRG's were designed, for some reason Anatomical Pathology fees were
not included. Therefore Medicare may be billed for the Technical Component
by the institution performing the work.  The Professional Fee has always
been understood to be billed to Medicare.

This really lifts a burden off the billing process for both the submitting
and performing institutions.

I sure hope the APG's (APC's) will be set up in the same way for Out
Patients or we may have to bill differently when they are in place. :(

Don  
PS  I am at home and do not have the Reference # but will send it out on
Monday.                                             
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Don Hammer, Administrative Director            UNIVERSITY OF WASHINGTON 
Hospital Pathology, Box 356100                     MEDICAL CENTER
1995 NE Pacific St.                                
Seattle Washington, 98195                  ~Where Knowledge Comes To Life~ 
(206) 548-6401 Fax: (206) 548-4928         
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~








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