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Home > Manuals > Guide to Medicare SNF Billing - PDPM REVISED EDITION
Guide to Medicare SNF Billing - PDPM REVISED EDITION
Item Number: 023
Manufacturer: Polaris Group
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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.
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