Medicare Claims Processing Manual (Pub. 100-04), Ch. 6 § 50.3.2

Determining Whether Transfer Requirements Have Been Met

Last amended: 2003Year: 2003Length: 143 wordsOfficial source
50.3.2 - Determining Whether Transfer Requirements Have Been Met (Rev. 1, 10-01-03) PM AB-01-131 It is very important to safeguard the beneficiary while applying necessary sanctions to the provider. It is certainly possible that a beneficiary may remain at a facility under sanction for a period of time and later transfer to a second SNF. The 30-day transfer requirement will be applied in the same way it would be for a beneficiary transferring between two SNFs that are not under sanction. Part A coverage will be available to the second SNF for all remaining days in the benefit period as long as the beneficiary: 1. Had a qualifying hospital stay 2. Was admitted to a Medicare-certified bed in the first (sanctioned) SNF within 30 days of the hospital discharge, and 3. Is receiving a covered level of care at the time of transfer.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 6 § 50.3.2: Determining Whether Transfer Requirements Have Been Met | Justis AI