Guide to Medicare SNF Billing - PDPM REVISED EDITION

GUIDE TO MEDICARE BILLING - PDPM REVISIONS!

UPDATE YOUR BILLING PROCEDURES TO NEW REGULATIONS

Updated May 2020

A Guide to Medicare SNF Billing manual is an excellent "on the shelf" resource for both new and seasoned billing staff!
Ensure compliance with the newest rules, regulations and UB-04 guidelines.

The manual includes:

• NEW: SNF Part A Billing guidelines updated to PDPM
• Part B therapy billing-application of KX Modifier for charges above the threshold amount
• Consolidated Billing guidelines
• Detailed UB-04 form Instructions
• Sample UB-04 claims  for Part A, Part B and Demand Bills.
• No Pay Bills and Benefits Exhaust Bills.
• Managing Denials and Appeals.
• Adjusting and Canceling UB-04 Claims. 
• Customizable versions of the revised SNFABN and current Expedited Determination Notices.
• Appropriate use of HIPPS, HCPCS, and CPT coding, with actual samples to follow when completing a UB-04.
• All forms on USB/Flash Drive for easy implementation.