Friday, June 3, 2016

CMS entirely re-writes rules for medical review of a SNF chart

SUBJECT: Medical Review of Skilled Nursing Facility Prospective Payment System (SNF PPS) Bills

I. SUMMARY OF CHANGES: The purpose of this Change Request (CR) is to update chapter 6.1, Medical Review of Skilled Nursing Facility Prospective Payment System (SNF PPS) Bills.

EFFECTIVE DATE: June 28, 2016 *Unless otherwise specified, the effective date is the date of service. 
IMPLEMENTATION DATE: June 28, 2016




6.1 - Medical Review of Skilled Nursing Facility Prospective Payment System (SNF PPS) Bills
6.1.1 - Skilled Nursing Facility Qualifying Inpatient Stay
6.1.2 – Types of SNF PPS Review
6.1.3 – Bill Review Requirements
6.1.4 – Bill Review Process
6.1.5 - Workload

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