Clarification Re Direct Billing to Medicare by CSWs for CSW services to residents of SNFs

September 22, 2000

 

Part A: Only the skilled nursing facilities can bill Medicare for clinical social work services to residents of the facilities. Clinical social work services are bundled under the Prospective Payment System which has been implemented.

Part B: Clinical social workers may continue to bill Medicare directly for clinical social work services to residents of skilled nursing facilities. Consolidated billing has not yet been implemented.

 

Pat Gorman, LCSW
Congressional Lobbyist
Professional Development and Advocacy
National Association of Social Workers
750 First Street, NE, Suite 800
Washington, DC 20002-4241
202/336-8336
Fax: 202/336-8311
E-mail: pgorman@naswdc.org