In a recent report, the Office of Inspector General (OIG) determined that Medicare improperly paid for Skilled Nursing Facility (SNF) services when the Medicare three-day inpatient hospital stay requirement was not met. CMS developed the Skilled Nursing Facility 3-Day Rule Billing Fact Sheet to help you bill correctly.
As CMS has undertaken the implementation of the Patient Driven Payment Model (PDPM), they are holding a limited number of SNF claims while they make further refinements to the claims processing system. PDPM was effective on October 1, 2019.
AMBR members have access to the new and improved members forum, where members can chat online about billing topics and find answers and advice as well as share best practices and experiences. Recently, members have discussed:
Billing for therapy on discharge day
Billing for the time therapists care plan
If you would like to join these conversations or start your own, sigin in here. The log in is the same as your AMBR log in credentials.