SNF Denial Rates Significantly Increase in 2015
According to the 2015 Comprehensive Error Rate Testing (CERT) Report, the denial rate for Skilled Nursing Facilities (SNFs) increased from 6.9% in 2014 to 11% in 2015 due to missing or incomplete certification/recertification: Statement must contain need for skilled services that can only be provided in SNF/swing-bed on a daily basis for a condition patient was treated for in prior hospital stay Must include physician’s dated signature (printed name if signature is illegible) In addition, recertifications should include: Expected length of stay Explanation if continued need for services is for a condition that arose after SNF admission Any plans for