0099-Skilled Nursing Facility Consolidated Billing: Unbundling

Dynamic List Information
Dynamic List Data
Issue Name
0099-Skilled Nursing Facility Consolidated Billing: Unbundling
Review Type
Automated
Provider Type
Outpatient Hospital
MAC Jurisdiction
All A/B MACs
Date
2018-06-12
RAC Type
Approved

Description

Payment for the Skilled Nursing Facility (SNF) services, listed in the SNF Consolidated Billing Table, Major Category I.F and V.A., provided to beneficiaries by the outpatient facility, in a Medicare covered Part A SNF stay, are included in a bundled prospective payment and are not separately payable. Payment for those services will be recouped as identified overpayments.

Affected Code(s)

CPT/HCPCS codes listed in the SNF Consolidated Billing Table, Major Category I.F and V.A.

Applicable Policy References

1.    Social Security Act (SSA), Title XVIII- Health Insurance for the Aged and Disabled, Section 1862(a)(1)(A)- Exclusions from Coverage and Medicare as a Secondary Payer
2.    Social Security Act (SSA), Title XVIII- Health Insurance for the Aged and Disabled, Section 1833(e)- Payment of Benefits
3.    42 CFR §405.929- Post-Payment Review
4.    42 CFR §405.930- Failure to Respond to Additional Documentation Request
5.    42 CFR §405.980- Reopening of Initial Determinations, Redeterminations, Reconsiderations, Decisions, and Reviews, (b)- Timeframes and Requirements for Reopening Initial Determinations and Redeterminations Initiated by a Contractor; and (c)- Timeframes and Requirements for Reopening Initial Determinations and Redeterminations Requested by a Party
6.    42 CFR §405.986- Good Cause for Reopening  
7.    Medicare Program Integrity Manual, Chapter 3- Verifying Potential Errors and Taking Corrective Actions, §§§3.1- 3.6.6
8.    Medicare Claims Processing Manual, Chapter 6- SNF Inpatient Part A Billing, §§10-10.4- Skilled Nursing Facility (SNF) Prospective Payment System (PPS) and Consolidated Billing Overview; §§20- 20.6- Services Included in Part A PPS Payment Not Billable Separately by the SNF
9.    CMS SNF Consolidated Billing- https://www.cms.gov/Medicare/Billing/SNFConsolidatedBilling 
10.    AMA CPT Codebook
11.    HCPCS Level II Codebook