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