5 nuances of Medicare billing.

Here are steps providers should take to ensure appropriate Medicare payment: Group claims under MS-DRG on "bill drop." Small urban or rural hospitals: Investigate the possibility of attaining critical access hospital or sole community hospital status. Identify managed care contracts that pay therapies from the physician fee schedule, then audit payments to ensure the nonfacility rates are being paid. When FIs and MACs bundle procedures that are not performed at the same time, all such payments should be appealed.