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;-

Catheter

Gloves

Syringes

I V tubing

Implants

Non- billable items ;-

Suction machine

Hemodialysis equipe

Respirators

Bedpans

Hospital bed

Reusable trays

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