Skilled Nursing Facility

A Skilled Nursing Facility (SNF) is an institution or a distinct part of an institution, such as a skilled nursing home or rehabilitation center, which is primarily engaged in providing daily skilled nursing care and related services for residents who require medical or nursing care, or rehabilitation services for injured, disabled or sick persons.

Policies & Regulations

Regulations:

Manuals:

Transmittals
Benefit Policy Manual
Claims Processing Manual - Chapter 6 & Chapter 7

Provider Information

Recent Skilled Nursing Facility information in the Riverbend Education Center:

Tips on Documentation in Medical Records Submitted for Review
SNF Benefits Exhaust and No-Payment Bills
UB04

Medical Review

In order to meet CMS' goal of protecting the Medicare Trust Fund, Riverbend must ensure that we pay the right amount for covered and correctly coded services rendered to eligible beneficiaries by providers.

Latest SNF News

Consolidated Billing FI Updates

SNF PPS CB provides an essential foundation for the SNF PPS, by bundling into a single facility package all of the services that the PPS payment is intended to capture. The CB requirement imparts on the SNF the billing responsibility for the complete package of services that residents receive during a covered Part A SNF stay and physical, occupational, and speech therapy services received during a noncovered stay. To stay updated with the latest information visit the FI Annual Updates.

Medicare Secondary Payer

When Medicare is the secondary payer, the provider, physician, or other supplier, or beneficiary must first submit the claim to the primary payer. The primary payer is required to process and make primary payment on the claim in accordance with the coverage provisions of its contract.

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