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Region D

Issue Title

SNF Consolidated Billing for Therapies During a Part B SNF Stay




For Medicare beneficiaries in a SNF Part B stay, therapies are subject to SNF consolidated billing. Outpatient physical therapy, outpatient speech-language pathology services, and outpatient occupational therapy are billable services by the SNF even when another entity renders the services under arrangement with the SNF.


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

Provider Type


Date of Service

Claims that have a “claim paid date” which is more than 3 years prior to the Demand Letter date


​1) Medicare Claims Processing Manual: CMS Pub 100-04; Chapter 7 § 10.1, 40 and 110.

2) Overview on Skilled Nursing Facility (SNF) Consolidated Billing (CB) 3) Carrier File Explanation SNF Consolidated Billing​​

Date Posted


Date Revised


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Created at 6/5/2013 10:07 AM by Aaron Gough
Last modified at 6/5/2013 10:36 AM by Aaron Gough