Claims for DMEPOS Items Furnished to a Beneficiary by a Skilled

50.5 - Claims for DMEPOS Items Furnished to a Beneficiary by a Skilled Nursing Facility (SNF) or Nursing Facility (NF) (Rev. 1544, Issued: 06-26-08, Effective: 07-01-08, Implementation: 07-07-08) For purposes of claims adjudication under DMEPOS Competitive Bidding, beneficiaries who maintain a permanent residence in a CBA and, while a resident of a SNF or NF outside of a CBA, obtain a competitively bid item from that SNF or NF are treated as traveling beneficiaries when their permanent address is within a CBA. As a result, the SNF or NF shall submit a “KT” modifier on any claims for competitively bid items furnished to beneficiaries, under these circumstances. A claim must include a place of service “31” to indicate that the beneficiary resides in a SNF or “32” to indicate that the beneficiary resides in a NF, as applicable. See §20.5.2 for the policies applicable to SNFs and NFs that furnish competitively bid items under DMEPOS Competitive Bidding Program.