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Article Detail - JE Part A

Skilled Nursing Facility (SNF) Claims Processing Updates - Revised

MLN Matters Number: MM12344 Revised
Related CR Release Date: November 4, 2021
Related CR Transmittal Number: R11109CP
Related Change Request (CR) Number: 12344
Effective Date: January 1, 2022
Implementation Date: January 3, 2022

Note: CMS revised this Article to reflect a revised CR 12344. The CR added a note that is on page 1 in this Article (red font). CMS also changed the CR release date, transmittal number, and the web address of the CR. All other information is the same.

CR 12344 tells you about updates to SNF edits to bypass services related to an emergency room encounter when there is a revenue code of 250 on the same claim. CR 12344 also updates certain Fiscal Intermediary Shared System (FISS) and Common Working File (CWF) edits for overlapping claims when there is a no-pay hospital claim during an interrupted stay. Make sure your billing staff knows about these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)12344.


            Last Updated Fri, 21 Jan 2022 15:52:23 +0000