Skip Ribbon Commands
Skip to main content

Region

Region A

Issue Title

Ambulatory Surgery Centers (ASC) / Skilled Nursing Facility (SNF) Consolidated Billing

Number

A000762012

Description

Under SNF consolidated billing, the SNF is responsible for the entire package of services that its residents receive during the course of a Part A stay with some exceptions. Potential billing error exists when an ASC bills Medicare Part B directly instead of SNF for reimbursement which also increases out-of-pocket liability for beneficiaries.

States

CT, DC, DE, MD, NJ, NY, PA

Provider Type

Ambulatory Surgery Center

Date of Service

Claims having a "claim paid date" which is more than 3 years prior to the ADR date will be excluded.

References

Date Posted

6/5/2012

Date Revised

 

More Information

Click to view

Attachments

Created at 6/4/2013 2:42 PM by Aaron Gough
Last modified at 6/5/2013 10:36 AM by Aaron Gough