- Avoid Processing Delays by Following Proper Submission Guidelines
- Medicare Beneficiary Eligibility Checklist
- Acceptable Electronic Signatures Reminder
- Capable Recipients for the Advance Beneficiary Notice of Noncoverage
- Hospital-Issued Notices of Noncoverage
- Medicare Advance Written Notices of Noncoverage Booklet
- Primary Care Exception Guidelines
- Ordering DMEPOS Items
- Appropriate Use Criteria Program
- Assistant at Surgery Billing Documentation Reminder
- Avoid Return to Provider and Claim Rejections-Enhancing the Beneficiary Eligibility Verification Process
- Checking Eligibility and Knowing Your Point of Contact
- Cloned Documentation Could Result in Medicare Denials for Payment
- Documentation Reminder: Psychiatry and Psychology Services
- Documentation Required for Home Visits
- Electrical Stimulation Therapy: Important Coverage and Documentation Reminders
- Go Paperless Today - Protect Your Bottom Line
- Hospital Acquired Conditions and Present on Admission Resource for Physicians
- Inpatient Admission Prior to Medicare Entitlement Job Aid
- MDS Calendar
- Medicare Home Health Collaboration with Other Provider Types
- Part A Claims for High Cost Items and Certain Drugs Requiring Additional Information
- Manual Review of Claims for Replacement of Supplies and Accessories used with External Ventricular Assist Device
- Referring, Monitoring and Certifying Home Health Services
- Scribing Medical Record Documentation
- Skilled Nursing Facility Medicare Part A Benefit Quick Reference Fact Sheet
- Submit Medical Record Documentation Electronically
- Submitting Electronic Medical Records via CD-ROM
- Using the Medicare Part B PWK Fax-Mail-esMD Cover Sheet
Skilled Nursing Facility Medicare Part A Benefit Quick Reference Fact Sheet
Beneficiary must have Medicare Part A with days left in their 100 day benefit period.
A medically necessary inpatient hospital stay of at least three consecutive days (date of discharge is not included, observation and emergency room time does not count towards the qualifying stay).
Transferred to a Medicare participating SNF within 30 days of hospital discharge for exception refer to the CMS IOM Publication 100-02, Medicare Benefit Policy Manual, Chapter 8, Section 20.2.2.
Care in the SNF must relate back to what the beneficiary was treated for in the hospital or a new condition arising while in the qualifying stay or SNF.
Required care must be of a level of complexity or the patient’s condition such that it can only be provided by or under the supervision of the licensed nurse or therapist.
Services should be of a level that can only practically be provided on an inpatient basis.