Types of Services Subject to the Consolidated Billing

10.3 - Types of Services Subject to the Consolidated Billing Requirement for SNFs (Rev. 2573, Issued: 10-26-12, Effective: 04-01-13, Implementation: 04-01-13) As previously discussed, the consolidated billing requirement applies to all services furnished to a SNF resident in a covered Part A stay (other than the excluded service categories described below) and for physical therapy, occupational therapy, and/or speech-language pathology services provided to residents and paid under Part B. Examples of services that are subject to consolidated billing include: • Physical therapy, occupational therapy, and/or speech-language pathology services, regardless of whether they are furnished by (or under the supervision of) a physician or other health care professional (see §1888(e)(2)(A)(ii) of the Act). Physical therapy, occupational therapy, and/or speech-language pathology services (other than audiology services, which are considered diagnostic tests rather than therapy services) furnished to a SNF resident during a noncovered stay must still be billed by the SNF itself. This is known as “Part B” consolidated billing (see §20.5 of this chapter). • Psychological and other services furnished by a clinical social worker; and • Services furnished as an “incident to” the professional services of a physician or other excluded category of health care professional described in §20.1.1 below.