Medicare Claims Processing Manual (Pub. 100-04), Ch. 6 § 90
Medicare Advantage (MA) Beneficiaries
90 - Medicare Advantage (MA) Beneficiaries
(Rev. 1252, Issued: 05-25-07; Effective: 10-01-06; Implementation: 08-27-07)
For billing to MA plans, SNFs follow the requirements of the agreement they have with
the plans. In cases where the patient may have enrolled or disenrolled from the plans
during the billing period, the SNF will split the bill and send the plan’s portion to it and
the remaining portion to the A/B MAC (A).