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Region

Region A

Issue Title

Clinical Social Worker (CSW)

Number

 

Description

CSW services rendered during an inpatient acute care or skilled nursing facility stay are not separately payable under Medicare Part B, instead they are included in the facility’s Prospective Payment System (PPS) payment. CSW providers are expected to render services under arrangement with the facility. Therefore, an issue may exist when a beneficiary received CSW services during an inpatient stay, which have been billed and reimbursed under Medicare Part B.

States

CT, DC, DE, MA, MD, ME, NH, NJ, NY, PA, RI, VT

Provider Type

 

Date of Service

October 1, 2007 to Present

References

Date Posted

 

Date Revised

 

More Information

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Attachments

Created at 6/4/2013 1:48 PM by i:0#.f|crmmembershipprovider|agough@ahca.org
Last modified at 6/5/2013 10:36 AM by Aaron Gough