SNF Provider Compliance Tips

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare®

A February 2018 MLN Fact Sheet – Provider Compliance Tips for Skilled Nursing Facility Services – provides information for Physicians, non-physician practitioners (NPPs) and providers who bill for services related to beneficiaries in Skilled Nursing Facilities (SNFs).

Included in the 3-page Fact Sheet is some very basic background information, reasons for denial (CMS says the “majority of SNF service improper payments were from insufficient documentation. The primary reason for these errors was the certification/recertification statement was missing or insufficient (for example, one required element was missing). Medicare coverage of SNF services requires certification and recertification for these services”), how to prevent denials and resources/hyperlinks for additional information.