As a general rule, items are considered non-billable if they are included in the

Question

As a general rule, items are considered non-billable if they are included in the general cost of the room in which the patient resides, the procedure is performed, or services are rendered. Items that

are integral to the performance of the procedure or service are considered billable. Furthermore, supplies that can be purchased in bulk and stored on the floor are considerate routine and therefore non-billable. The Medicare Claims Processing Manual and Provider Reimbursement Manual provide the following guidance with regard to supply items:

?? Are they directly identifiable to a specific patient?

?? Where they ordered by a physician because of a specific medical need?

?? Are they either not reusable or do they represent a cost for each preparation?

?? Is the equipment available to patients in a particular setting or for use during the course of a

procedure?

Using these guidelines, identify which of the following items are billable and which are non-billable:

Hospital bed

Catheter

Gloves

Syringes

Pacemaker lead

Reusable trays

Bedpans

IV tubing

Respirators

Suction machines

Hemodialysis equipment

Implants

Explanation / Answer

Billable items are-catheter,gloves,syringe,pacemaker lead,IV Tubings ,respirators,implants, and hemodialysis equipments.

Non-billable item -reusable tray,bedpans,suction machine, hospital bed

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