As the health care industry’s most comprehensive library of customizable policy and procedure templates, MCN Healthcare’s Home Care Corporate Compliance Manual includes this customizable template, Duplicate Billing. MCN’s policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more.

MCN’s templates save you time, money and resources, rather than developing healthcare policy and procedure manuals from scratch.

Here is some sample content from Duplicate Billing:

	POLICY: Claims shall not be submitted for the same person, for the same date of service whether from the same or different DMEPOS supplier. Exception to the above policy: When a patient is discharged from a facility where it was medically necessary for him/her to receive certain items or supplies, and it remains medically necessary for that patient to continue to receive the same items or services beginning on the day of discharge from the facility, those items or services shall be provided providing there is appropriate documentation supporting the medical necessity of same. Note: ...
Second excerpt:
	...supporting the medical necessity of same. Note: Claims shall not be submitted to more than one primary payor. PROCEDURE: Referrals for items and/or services to begin the day of discharge from a facility are submitted to the organization administrator or his/her designee. The decision to supply the items or services shall be based on the documented medical necessity of same which shall include the patient's diagnosises and clinical status. SUBJECT: DUPLICATE BILLING REFERENCE #2012 PAGE:...