Enteral Feeding

Channa95 · #1 (**permalink**) 12-22-2011, 10:39 AM

We received a recoup request from Medicare for a patient on Enteral Feeding in April of this year. I called IVR and found out patient was inpatient for 10 days in the middle of the month. The recoup is for the entire amount. How can I get paid for the beginning of the month and end of the month? I am curious as to how others handle this situation. Thanks!

DebiW · #2 (**permalink**) 12-22-2011, 12:35 PM

Split the claim up and bill 2 claims; one for before hospitalization and one for after

Debi Williams
Lead Infusion Biller
St John Providence Home Care
debi.williams@stjohn.org
T: 586-723-9544
F: 586-723-9465

Channa95 · #3 (**permalink**) 12-22-2011, 05:10 PM

I want to make sure I understand correctly. So, I will refund full amount to medicare, and then re-bill with 2 separate claims? Or will I have to send to appeals? Thanks for your information.

DebiW · #4 (**permalink**) 12-23-2011, 09:19 AM

If you still have time in the filing limit I would refund the money and resubmit as 2 claims.

Debi Williams
Lead Infusion Biller
St John Providence Home Care
debi.williams@stjohn.org
T: 586-723-9544
F: 586-723-9465