Long-Term Care

The details of default billing

Billing Alert for Long-Term Care, March 1, 2010

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However, choosing the latter isn’t always up to the SNF. The 2010 final rule did not include any changes from the default billing regulations that were clarified in the 2009 final rule. Those regulations limit a facility’s eligibility to bill the default rate.

There are five approved default billing scenarios. Outside of those, if a MDS assessment was not completed in accordance with the assessment schedule, the SNF will not receive payment for that time period.

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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