Qualifying stay criteria not met? You still might need to submit a Part A claim
Billing Alert for Long-Term Care, July 1, 2008
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Effective July 1, the burden on skilled nursing facility (SNF) business offices to track residents and submit Medicare Part A claims to update the Common Working File (CWF) increases yet again.
According to Transmittal 1450, SNFs will have to submit monthly covered claims for a new group of residents: those who require a Part A skilled level of care but aren’t on Part A because they don’t have a qualifying three-day hospital stay or meet the 30-day transfer criteria, says Ronald Orth, RN, NHA, CPC, RAC-CT, president of Clinical Reimbursement Solutions, LLC, in Milwaukee.
This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Billing Alert for Long-Term Care.
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