SNF Claims Incorrectly Cancelled

From January 26 through February 16, 2020, a software issue caused Skilled Nursing Facility (SNF) claims to be incorrectly cancelled with a message that there was no three-day qualifying hospital stay. This issue has been corrected. If your claims were incorrectly cancelled, re-bill them in sequential order to receive payment. Note:

  • Claims need to process in date of service order of each stay for the Variable Per Diem (VPD) to calculate correctly
  • Submit claims in sequence and wait at least two weeks before billing subsequent claims
  • Some of the affected claims with older dates of service will require a timely filing exception; enter "Resubmission due to non-qualifying stay" in the remarks field
  • Contact 1-855-609-9960 (JE) 1-877-908-8431 (JF) or correct MAC to receive the Medicare Beneficiary Identifier (MBI) for deceased beneficiaries

Resource: MLN Connects, March 19, 2020

            Last Updated Sat, 18 Apr 2020 13:52:45 +0000