Medicare Claims Processing Manual (Pub. 100-04), Ch. 6 § 40

Special Inpatient Billing Instructions

Last amended: 2009Year: 2009Length: 96 wordsOfficial source
40 - Special Inpatient Billing Instructions (Rev. 1733; Issued: 05-08-09; Effective Date: 10-01-06; Implementation Date: 04- 27-09) The SNFs bill upon the following: • Discharge; • Benefit exhaustion; (Note: Submit both full and partial benefits exhaust claims monthly) • A decrease in level of care to less than skilled care; or • Monthly (and if necessary, monthly thereafter). Each bill must include all diagnoses applicable to the admission. However, SNFs do not include charges that were billed on an earlier bill. The “from” date must be the day after the “through” date on the prior bill.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 6 § 40: Special Inpatient Billing Instructions | Justis AI