Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare
An Office of Inspector General report (February 2019) found that Medicare improperly paid for Skilled Nursing Facility (SNF) services when patients did not meet the 3-Day inpatient hospital stay requirement. Review the Skilled Nursing Facility 3-Day Rule Billing fact sheet to help you bill correctly.
Additional resources:
• SNF Billing Reference educational tool
• Title 42 of the Code of Federal Regulations § 411.400
• Medicare Benefit Policy Manual, Chapter 8
• Medicare Claims Billing Manual, Chapter 6 • Medicare Claims Billing Manual, Chapter 30