Inpatient 3-Day Stays Resulting in Admission to Skilled Nursing Facility (SNF): Probe Medical Review
Based on Kentucky and Ohio CERT data, J15 Part A Medical Review will implement a service specific probe for 3-Day Inpatient Stays resulting in a SNF Admission. The service specific probe edit for bill type 11X will be implemented in Kentucky and Ohio. What to Send If you receive an Additional Documentation Request (ADR) from CGS, submit the requested medical record information within 30 days. Before you send the requested records, we suggest you double-check the accuracy of your submitted claim. Send the following documentation when responding to the ADRs, along with other supporting documentation. Please note: the documentation you