SNF Prospective Payment System
Publications
Federal Registers | SNF PPS - Program Memoranda | Consolidated Billing - Program Memoranda | Swing Bed - Program Memoranda
Federal Registers |
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|---|---|
| Medicare Program; Provider Reimbursement Determinations and Appeals -- June 25, 2004: Vol. 69, No. 122 | CMS-1727-P PDF File, 319kb |
| SNF PPS Interim Final Rule -- May 12, 1998: Vol. 63, No. 91 | fr12ma98.pdf PDF File, 993kb |
| SNF PPS "Final" Final Rule - July 30, 1999: Vol. 64, No. 146 | 1913F.pdf PDF File, 180kb |
| FY 2000 SNF PPS Update Notice -- July 30, 1999: Vol. 64, No. 146 | fr31jy99.pdf PDF File, 347kb |
| FY 2001 SNF PPS Proposed Rule -- April 10, 2000: Vol. 65, No. 69 | 1112-p1.pdf PDF File, 2.16mb 1112-p2.pdf PDF File, 4.54mb 1112-p3.pdf PDF File, 585kb |
| FY 2001 SNF PPS Final Rule -- July 31, 2000: Vol. 65, No. 147 | fr31jy00.pdf PDF File, 464kb |
| FY 2002 SNF PPS Final Rule -- July 31, 2001: Vol. 66, No. 147 | fr31jy01.pdf PDF File, 546kb |
| Notice of Modification of Beneficiary Assessment Requirements for SNFs -- May 31, 2002: Vol. 67, No. 105 | fr31ma02.pdf PDF File, 56kb |
| Revision of the Procedures for Requesting Exceptions to the Cost Limits for SNFs & Elimination of Reclassifications; Technical Correction -- July 26, 2002: Vol. 67, No. 144 | fr26jy02.pdf PDF File, 43kb |
| FY 2003 SNF PPS Update Notice -- July 31, 2002: Vol. 67, No. 147 | fr31jy02.pdf PDF File, 1.78mb |
| FY 2002 SNF PPS Proposed Rule -- May 10, 2003: Vol. 66, No. 91 | 1163p.pdf PDF File, 338kb |
| FY 2004 SNF PPS Proposed Rule -- May 16, 2003: Vol. 68, No. 95 | 1469p.pdf PDF File, 1.51mb |
| FY 2004 SNF PPS Supplemental Proposed Rule -- June 10, 2003: Vol. 68, No. 111 | 1469p2.pdf PDF File, 111kb |
| FY 2004 SNF PPS Final Rule -- August 4, 2003: Vol. 68, No. 149 | Display Version (Zip File, 110kb) FR Notice (PDF file, 1.63mb) |
| FY 2004 SNF PPS Final Rule; Correction Notice -- September 29, 2003: Vol. 68, No. 188 | Display Version (Zip File, 56kb) FR Notice (PDF file, 452kb) |
| FY 2005 SNF PPS Update Notice -- July 30, 2004: Vol. 69, No. 146 | Display Version (ZIP File, 83kb) FR Notice (PDF file, 1.61mb) |
Correction to July 30, 2004 SNF Update Notice: Federal Register (Vol. 69, No. 194, page 60158)
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Display Version (ZIP File, 12.7kb) FR Notice (PDF file, 49kb) |
CMS Program Memoranda - SNF PPS |
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| Payment Safeguard Review of SNF Prospective Payment Bills--Updated Instructions | A-00-08.60, PDF file |
| SNF Adjustment Billing: Adjustment to HIPPS Codes Resulting From MDS Corrections | A-00-46, PDF file |
| SNF Annual Update: PPS Pricer and Health Insurance PPS (HIPPS) Coding Changes | A-00-47.60, PDF file |
| Fiscal Intermediary (FI) Instructions on Applying Payment Bans on Skilled Nursing Facility (SNF) Admissions | AB-01-131, PDF file |
| Medicare Part A SNF PPS Update | A-02-057, PDF file |
| SNF Adjustment Billing: Adjustments to HIPPS Codes Resulting From MDS Corrections | A-02-121, PDF file |
| Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Update | A-03-075, PDF file |
| Provider Reimbursement Manual, Part 2, Provider Cost Reporting Forms and Instructions,Chapter 35, Form CMS-2540-96 | Transmittal 13, PDF file |
| Provider Reimbursement Manual, Part 2, Provider Cost Reporting Forms and Instructions, Chapter 36, Form CMS-2552-96 | Transmittal 11, PDF file |
| New Requirements for CAHs | Transmittal 68, PDF file |
CMS Program Memoranda - Consolidated Billing (CB) |
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| CB for SNF Patients When Receiving Outpatient/Emergency Care in a Medicare-Participating Hospital or CAH | A-00-01.60, PDF file |
| CB for SNFs - BBA of 1999 | AB-00-18.60, PDF file |
| Fee Schedule and CB and SNF Services | A-00-88.60, PDF file |
| CB for SNF Residents | B-00-67.60, PDF file |
| Delay of Carrier and Intermediary Actions Required in CRs 1256 and 1323, CB for SNF Residents, and Fee Schedule for Part B Residents and Outpatients | AB-01-33.60, PDF file |
| Billing for Audiologic Function Tests For Beneficiaries That Are Patients of a SNF | AB-01-71.60, PDF file |
| Implementation of Fee Schedule for Additional Part B Services Furnished by a SNF or Another Entity Under Arrangements with the SNF | A-01-94.60, PDF file |
| Correction to Program Memorandum (PM) A-01-94 (CR 1689): Implementation of Fee Schedule for Additional Part B Services Furnished by a SNF or Another Entity Under Arrangements with the SNF | A-01-119.60, PDF file |
| New Common Working File (CWF) Edits and Standard System Responses on SNF Claims | AB-01-158.60, PDF file |
| Common Working File (CWF) Reject and Utilization Edits and Carrier Resolution for Consolidated Billing for SNF Residents | AB-01-159.60, PDF file |
| HCPCS Code Updates and Corrections for SNF Part A PPS Consolidated Billing and SNF Part B Fee Schedule for 2002. | A-01-135.60, PDF file |
| Clarification and HCPCs Coding Update: Part B Fee Schedule And CB for SNF Services | A-01-142.60, PDF file |
| Notification to Carriers and Providers of SNF CB Coding Information on CMS Web site | B-02-002.60, PDF file |
| Common Working File (CWF) Unsolicited Response Edit and Carrier Resolution for Consolidated Billing for SNF Residents | AB-02-021.60, PDF file |
| Common Working File (CWF) Edits with Unsolicited Responses for SNF Consolidated Billing | AB-02-023.60, PDF file |
| Corrections to Program Memorandum (PM) A-01-135 -- Codes Billable by SNFs and Suppliers for SNF Residents | AB-02-027.60, PDF file |
| Reissue of information in CR 1955, Transmittal AB-02-021, Common Working File (CWF) Unsolicited Response Edit and Carrier Resolution for Consolidated Billing for SNF Residents | AB-02-037.60, PDF file |
| Corrections to Program Memorandum (PM) A-01-135 -- Codes Billable by SNFs and Suppliers for SNF Residents | AB-02-043.60, PDF file |
| Corrections to: Changes to the PPS & Consolidated Billing for SNF-Update as published in the Federal Register, FY2001 (66 FR 39572, July 31, 2001), and Transmittal A-01-144, December 20, 2001 | A-02-101, PDF file |
| Revision to Messages for SNF Consolidated Billing and Implementation of Common Working File (CWF) Edits for Clinical Social Workers (CSWs) for SNF Consolidated Billing | B-02-067, PDF file |
| Annual Update of HCPCS Codes Used for SNF Consolidated Billing Enforcemnt, Updated SNF Help File | A-02-118, PDF file |
| Revisions to CWF Edits for SNF Consolidated Billing to Permit Payment for Certain Diagnostic Services Furnished to Beneficiaries Receiving Treatment for ENd Stage Renal Disease (ESRD) at an Independent or Provider-Based Dialysis Facility | AB-02-175, PDF file |
| Annual Update of HCPCS Codes used for SNF Consolidated Billing Enforcement | CR 2926, PDF file |
| Revised SNF NO PAY File—Effective January 1, 2004 | CR 2983, PDF file |
| January 2004 annual update of HCPCS codes used for Home Health Consolidated Billing Enforcement | CR 3024 (168kb, PDF file) |
| Updates to the January 2004 Annual Update of HCPCS Codes Used for Skilled Nursing Facility Consolidated Billing Enforcement | CR 3070 (366kb, PDF file) |
| Implementation of Skilled Nursing Facility Consolidated Billing CWF Edit for Therapy Codes Considered Separately Payable Physician Services | CR 2944 (248kb, PDF file) |
| Revision to Required Messages in Change Request (CR) 2944, Implementation of Skilled Nursing Facility (SNF) Consolidated Billing Edit for Therapy Codes Considered Separately Payable Physician Services | CR 3156 (173kb, PDF file) |
| Change to the Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Ambulance Transports to or from a Diagnostic or Therapeutic Site Other than a Physician's Office or Hospital | CR 3196 (80kb, PDF file) |
| Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an "Arrangement" With an Outside Entity | CR 3248 (102kb, PDF file) |
| Skilled Nursing Facility Consolidated Billing L Codes - DMERCs and Fis | CR 3295 (54kb, PDF file) |
| Change to the Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Drugs and Electrocardiogram (EKG) Testing Provided During an Ambulance Transport | CR 3212 (71kb, PDF file) |
| Update to the Common Working File Edits for Skilled Nursing Facility (SNF) Consolidated Billing (CB) to Expand the Bypass for Pharmacy Services. | CR 3277 (83kb, PDF file) |
CMS Program Memoranda - Swing Bed |
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| Revision to Billing for Swing Bed Services Under SNF PPS | A-02-060, PDF file |
| Upcoming Train-the-Trainer Session for Hospital Swing Bed Facility PPS | A-02-028, PDF file |
| Conversion of Hospital Swing Bed Facilities to the SNF PPS | A-02-016, PDF file |
| Exemption of Critical Access Hospital Swing Bed from SNF PPS | A-01-09, PDF file |
| New Requirements for CAHs | Transmittal 68, PDF file |
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Last Modified on Friday, October 08, 2004
Centers for Medicare & Medicaid Services