Who is responsible for payment, the hospital or the SNF?
Per CMS, the hospital remains financially responsible for the item. Medical necessity for the custom device was established while the patient was in the hospital, not in the SNF, so the SNF should not be billed. The two-day rule would not apply in this particular scenario, either, because the patient is not being discharged to her home.
Related Questions
- Who is responsible for payment of professional services when a medical assistance client is treated in the hospital and the provider does not have a Core Provider Agreement?
- Can the same individuals who make up the governing body and/or the same individuals who make up the medical staff be responsible for more than one hospital?
- Who is responsible for payment, the hospital or the SNF?
