Medical Review of Skilled Nursing Facility Prospective Payment System Bills
June 15, 2016
The Centers for Medicare and Medicaid Services (CMS) has updated the instructions for the medical review of skilled nursing facility (SNF) Prospective Payment System (PPS) bills. The updated instructions include the following:
- Skilled nursing facility qualifying inpatient stay
- Types of SNF PPS reviews
- Bill review requirements
- Bill review process including obtaining records and making a coverage dertermination
To access the updated instructions, please click
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