Medicare Benefit Policy Manual (Pub. 100-02), Ch. 8 § 20.3.1.3

Sanctions Lifted: Procedures for Beneficiaries Admitted

Last amended: 2003Year: 2003Length: 106 wordsOfficial source
20.3.1.3 - Sanctions Lifted: Procedures for Beneficiaries Admitted During the Sanction Period (Rev. 1, 10-01-03) For new admissions to certified beds, Medicare payments for eligible beneficiaries should begin on the date the sanction is lifted. The beneficiary must meet technical eligibility requirements (e.g., a 3-day hospital stay, etc.), services must be reasonable and necessary and the beneficiary must be receiving skilled care. The date the sanction is lifted is considered the first day of the Part A stay. For SNF PPS payment purposes, the period between the actual date of admission and the last day the sanction was in effect should be billed as non-covered days.
Medicare Benefit Policy Manual (Pub. 100-02), Ch. 8 § 20.3.1.3: Sanctions Lifted: Procedures for Beneficiaries Admitted | Justis AI