Skip Ribbon Commands
Skip to main content


Region D

Issue Title

SNF Consolidated Billing Payment




SNF Consolidated Billing Payment for the majority of Skilled Nursing Facility (SNF) services provided to beneficiaries in a Medicare covered Part A SNF stay are included in a bundled prospective payment made through the fiscal intermediary (FI)/A/B Medicare Administrative Contractor (MAC) to the SNF. These bundled services are to be billed by the SNF to the FI/A/B MAC in a consolidated bill.
Physician's professional services are excluded from this consolidated billing requirement; however, for physician services delivered to SNF inpatients, the technical component (representing the performance of the diagnostic procedure itself) is bundled into the Part A PPS payment and are not paid separately.


AK, AZ, CA, HI, IA, ID, KS, MO, MT, ND, NV, OR,SD, UT, WA, WY, Guam, American Samoa and Northern Marianas

Provider Type

DME Part B and Part A

Date of Service

Claims paid on or After October 1, 2007


Date Posted


Date Revised


More Information

Click to view


Created at 6/5/2013 10:01 AM by Aaron Gough
Last modified at 6/5/2013 10:36 AM by Aaron Gough