Medicare Claims Processing Manual (Pub. 100-04), Ch. 6 § 40.5
Billing Procedures for Periodic Interim Payment (PIP) Method of
40.5 - Billing Procedures for Periodic Interim Payment (PIP) Method of
Payment
(Rev. 3220, Issued: 03-16-15, Effective: ICD-10: Upon Implementation of ICD-10,
ASC-X12: 01-01-12, Implementation: 10-01-14, ICD-10: Upon Implementation of
ICD-10 ASC X12: 09-16-14)
The SNFs using the PIP method of payment follow the regular billing instructions in
Medicare Claim Processing Manual, Chapter 25.
See the Medicare Claims Processing Manual, Chapter 1, “General Billing Requirements,”
§80.4, for requirements SNFs must meet and A/B MACs (A) must monitor to continue
PIP reimbursement. Refer to the Medicare Claims Processing Manual, Chapter 25 for
further information about completing the claim.