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Medicare Learning Network
(Medlearn)
SNF PPS - Quick Reference Guide
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SNF Manual:
Refinements and Consolidated Billing:
Section
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Description
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File Name
(PDF format)
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File Size
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Introduction
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Introduction: Skilled Nursing Facility
Prospective Payment System and Consolidated
Billing Update
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intro.pdf
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PDF format 12Kb
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Chapter I
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Clinical Criteria
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SNFFRManual.pdf
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PDF format 196Kb
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Chapter II
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Billing and Processing Issues
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SNFbilling.pdf
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PDF format 41Kb
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Chapter III
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History and Part-A Requirements
Intermediary
Requirements
Carrier Requirements
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SNFCbilling.pdf
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PDF format 269Kb
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Chapter IV
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Tools of the Trade
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SNFTools.pdf
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PDF format 66Kb
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Chapter V
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Reference Material
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SNFReflist.pdf
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PDF format 4Kb
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Links to applicable Program
Memorandums:
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PM
B-00-67 - Carriers: Consolidated Billing for
SNF Residents (Nov. 2000)
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PM
A-00-88 - Fiscal Intermediaries: Fee Schedule
and Consolidated Billing for Skilled Nursing
Facility (SNF) Services (Nov. 2000)
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PM
AB-01-33 - Delay of Carrier and Intermediary
Actions Required in CRs 1256 and 1323,
Consolidated Billing for Skilled Nursing Facility
(SNF) Residents and Fee Schedule for Part B
Residents and Outpatients. (Feb. 2001)
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PM
AB-01-159 - Common Working File Rejects and
Utilization Edits and Carrier Resolution for
Consolidated Billing for Skilled Nursing Facility
Residents.
Provider Information:
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Last Modified on Thursday, September 16, 2004
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