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Billing for HST in skilled nursing facilities

By Christian Becker MSRT posted 04-13-2018 20:46

  
I have a question for the Sleep Community: I am investigating the possibility of performing IV channel HST in skilled nursing facilities on Medicare/Caid patients who have OHS/OSA & have been ordered for NIPPV. These patients have never had a PSGT before (or if they did, it was several years ago). They cannot go to a sleep center because of their morbid obesity. Quite a few of them have BMIs well over 45. Would CPT 95800 or HCPCS G0400 be billed as part of a RUG bundle while the patient is in the SNF or can it be billed under Part B? Has anyone had any experience with this population in SNFs who may be able to advise me? I posted this question to the Coding community and they suggested that I post this question here.
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06-14-2018 11:10

A DME company cannot deliver or pick up such a device.  This pdf from Resmed should be helpful:
https://www.resmed.com/us/dam/.../1013492_Reimbursement_FF_ApneaLink.pdf

05-07-2018 09:48

​In the past, we have had the patient registered as an outpatient in our hospital, then the unit is picked up by someone from the nursing facility where the patient lives. It is then billed as Part B.