Skilled Nursing Facility

This article provides information about the 2009 annual update of Healthcare Common Procedure Coding System (HCPCS) codes for skilled nursing facility (SNF) consolidated billing. [MM6220]

The Centers for Medicare & Medicaid Services (CMS) has released the skilled nursing facility (SNF) prospective payment system (PPS) PC PRICER software for fiscal year (FY) 2009. [PERL 200810-06]

Reason code 38067 is being assigned incorrectly on some skilled nursing facility claims with type of bill 21X against some outpatient services billed on types of bill 13X and 14X.

The skilled nursing facility payment rates for fiscal year 2009 will be effective from October 1, 2008, through September 30, 2009. [MM6193]

An overview of how payment is made for skilled nursing facility (SNF) services.

Waivers to the skilled nursing facility policies implemented as a temporary emergency coverage modification in response to the Iowa and Indiana flooding have been expired and are no longer applicable. [PERL 200809-20/200809-26]

All SNF claims processed on or after July 10, 2008, will suspend to status location SMSPR1 with reason code 75100 for ECPS review.

Effective August 11, 2008, a new feature allows providers to obtain the provider number of a Skilled Nursing Facility (SNF), Home Health Agency, or Hospice provider when accessing eligibility via the IVR.

Medicare payment rates to nursing homes will increase by $780 million next year, the Centers for Medicare & Medicaid Services (CMS) announced today. [PERL 200807-34]

Effective January 1, 2009, you should no longer use the D4 condition code to report HIPPS code changes on SNF adjustment requests, but instead should begin to use Condition Code D2. [MM6002]

This article addresses the consequences that occur when CMS imposes sanctions that preclude Medicare payment for new admissions to an SNF. [MM6116]

Information for providers submitting SNF RUG adjustment claims as a result of the SNF/Comprehensive Error Rate Testing conference call held November 19, 2007.