- ABN Modifiers
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- Comprehensive Error Rate Testing
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- Evaluation and Management Documentation Guidelines
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- NGS Internet Resources
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- NGS Check Provider Enrollment Application Status Tool
- National Correct Coding Initiative
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- Skilled Nursing Facility Consolidated Billing
- U.S. Government Printing Office
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Skilled Nursing Facility Consolidated Billing
Back in 1997 as part of the Balanced Budget Act, Congress mandated that payment for the majority of services provided to beneficiaries in a Medicare covered SNF stay be included in a bundled prospective payment made through the Part A Medicare Administrative Contractor (MAC) to the SNF.
The consolidated billing requirement confers on the SNF the billing responsibility for the entire package of care that residents receive during a covered Part A SNF stay and physical, occupational and speech therapy services received during a noncovered stay. There are a limited number of services specifically excluded from consolidated billing and separately payable. Therefore it is recommended that you view the following files to ensure you are submitting your claims correctly.
Visit the CMS SNF Consolidated Billing web page for complete details.
Reviewed 10/13/2023