Medicare Question

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When an order is placed through the company pharmacy........does medicare pay the pharmacy directly? And as well as private pay individual with their own insurance company that do not qualify for medicare...is the pharmacy paid directly from the insurance company?

Also, if a patient is covered via medicare............and has a colostomy.........and the facilities colostomy supplies is not what the patient wants to use, does medicare pay for the colostomy supplies?

Specializes in Long Term Facilitly.

Thanks everyone.........I think this thread now should end.

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Specializes in icu, er, transplant, case management, ps.
AHHHH, maybe this is the technicality that we are missing. You refer to a "designation change" and the word "hospitals".

I am referring to an extended care, skilled nursing facility only. I am not familiar with how other "licensed" facilities bill, but I am sure there are differences.

Sorry but you misunderstood my post. There are three hospitals here in Charlotte County. All three hospitals are designated rural by Medicare. This means that they are reimbursed by Medicare as rural hospitals. The LTC facilities here are not considered rural by virtue of the fact that they are LTC facilities. They are not designated as rural because they cannot be.

Woody:balloons:

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