Medicare Claims Processing Manual (Pub. 100-04), Ch. 8 § 100.1
Physician’s Services Furnished to a Dialysis Patient Away From
100.1 - Physician’s Services Furnished to a Dialysis Patient Away From
Home or Usual Facility
(Rev. 10640, Issued:08-06-21, Effective:09-07-2021, Implementation:09-07-21)
When a dialysis patient whose attending physician receives a monthly payment receives
maintenance dialysis services of any kind outside the usual setting from any physician
who is neither the attending physician nor that physician’s substitute, the following
procedures apply:
•
The physician who furnished the service submits a claim to the local A/C MAC
(B) of jurisdiction;
•
The A/B MAC (B) will process the claim and send an MSN to the patient;
•
The A/B MAC (B) that has jurisdiction over the usual dialysis setting adjusts the
MCP to the usual attending physician to account for the time the patient was
absent from the usual dialysis setting.
•
The A/B MAC (B) that has jurisdiction over the usual dialysis setting adjusts the
MCP to the usual attending physician per §140.3.E below to account for the time
the patient was absent from the usual dialysis setting.
A/B MACs (B) must notify physicians that claims for services furnished to temporary
patients must be identified as a claim for a temporary patient. The physician must
indicate “temporary patient” on the claim.