Tips to Improve Your Skilled Nursing Facility Billing

Introduction

Accurate SNF billing is crucial for financial success and compliance. Discover essential tips to optimize your billing processes.

Know Billing Requirements

Submit SNF claims monthly using Form CMS-1450 or its electronic equivalent. Report significant events promptly.

Understand PPS

Medicare Part A uses a Prospective Payment System (PPS). Reimbursement is based on a fixed daily rate.

Include Beneficiary Notices

Provide required notices like the Important Message from Medicare (IM) and the Medicare Outpatient Observation Notice (MOON).

Code Dates Accurately

Define admission and discharge dates clearly. Exclude discharge or death date from utilization days.

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