In a recent report, the Office of Inspector General (OIG) determined that Medicare improperly paid for Skilled Nursing Facility (SNF) services when the Medicare 3-Day inpatient hospital stay requirement was not met. CMS developed the Skilled Nursing Facility 3-Day Rule Billing Fact Sheet to help you bill correctly. Additional resources:
- Reminder of the Required Three-day Hospital Stay for SNF Admissions MLN Matters Special Edition Article
- SNF Billing Reference Medicare Learning Network Booklet
- Title 42 of the Code of Federal Regulations (CFR) § 411.400
- Medicare Benefit Policy Manual, Chapter 8
- Medicare Claims Billing Manual, Chapter 6
- Medicare Claims Billing Manual, Chapter 30
- Medicare Financial Management Manual, Chapter 3, 70.3(C), 90, 100
- CMS Improperly Paid Millions of Dollars for Skilled Nursing Facility Services When the Medicare 3-Day Inpatient Hospital Stay Requirement Was Not Met OIG Report
Source: MLN Connects