Charging mileage for draws performed in long-term care facilities http://www.clma.org/forums/posts.asp?topic=326785 Wed, 19 Jun 2013 05:01:48 GMT Wed, 26 Oct 2011 19:31:59 GMT Copyright © 2011 CLMA - Clinical Laboratory Management Association Charging mileage for draws performed in long-term care facilities http://www.clma.org/forums/posts.asp?topic=326785 http://www.clma.org/forums/posts.asp?topic=326785 There is information in the Medicare Claims Processing Manual that allows laboratories to charge mileage for travel to nursing homes and long-term care facilities when a phlebotomist travels from the lab and collects the specimen.  Options include allocating the amount across the number of patients drawn, or charging a flat rate according to the allowable (per mile) rate.

Can anyone share information on how you are currently doing this?

  • If you allocate the charge, do you calculate the mileage / dollar amount that is allowed, apply it to every patient drawn at that location, and bill the appropriate amount on each patient's Medicare B claim form?
  • Do you also charge this same amount to client accounts for the Medicare Part A patients?
  • Is it legal to only charge mileage on the Part B patients if you have a contract with the facility that includes an agreement not to charge additional fees for travel, stats, etc.?
  • If you charge the flat rate, what are the logistics for billing this?  Is it attached to the claim of just one patient who was drawn at that location?

Any information or clarification on this topic would be most appreciated!

]]> Wed, 26 Oct 2011 19:03:01 GMT LTC mileage charges http://www.clma.org/forums/posts.asp?topic=326808 http://www.clma.org/forums/posts.asp?topic=326808 We calulate the charge based on all of the patients (part A and partB) that we draw at that facility.  We divide the Medicare rate by the number of patients drawn and add the calcuated amount to the part B charges.  We charge the facility 50 per patient for the part A patients.   We do not bill Medicare Part B less than 50 cents.  If the facility does not have a contract that includes travel fees, then we don't bill travel fees for Medicare B at that facility.  We have one that we are waiting for contract renewal to rectify that situation.    I hope this helps

 

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