Job Aid B: Determining Professional Consolidated Billing Services
Job Aid B is an interactive decision tree with a series of questions that help you determine if the professional service you provide falls under SNF Consolidated Billing services. The services are broken down into physician, professional and ambulance services. Your answers to the questions lead you to the next step to take. A text-only version is also available.
Institutional
Professional
A
B
1. Physician Services:
We exclude physicians, non-physician practitioners (NPPs) professional services, and suppliers (other than ambulance) from SNF CB.
We exclude physicians, non-physician practitioners (NPPs) professional services, and suppliers (other than ambulance) from SNF CB.
2. Professional Services Component:
We often separate diagnostic tests into technical and professional components. Physician services exclusion applies to professional component of diagnostic test.
We often separate diagnostic tests into technical and professional components. Physician services exclusion applies to professional component of diagnostic test.
3. Ambulance Services:
We don’t categorically exclude ambulance services from Part A SNF CB. However, in specific situations, bill transportation separately.
We don’t categorically exclude ambulance services from Part A SNF CB. However, in specific situations, bill transportation separately.