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SNF page at CMS |
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SNF page contains links to: SNF Federal Registers, SNF Program Transmitals and more... |
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Consolidated Billing Exclusion List |
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A Link to CMS web based resource to determine if a service is EXCLUDED from SNF consolidated billing. The services found in this list are services typically rendered by physicians. If the HCPCS code in question is NOT on this list, the SNF is responsible for payment in a Part A stay. Choose "YEAR Carrier Update" in the menu bar to the left then download "File 1" to view the list of PHYSICIAN EXCLUSIONS for the year chosen. For CB services rendered in a hospital environment download the "YEAR FI Update" file. |
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Medicare Excluded Practioner List |
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The HHS Office of Inspector General is charged with the responsibility of maintaining and publishing a list of individuals and companies that have been banned from servicing Medicare and Medicaid residents. Medicare providers must consult this list as part of their “due diligence” before hiring or contracting with individuals/companies that may have been banned from the program. Click on the above link to go directly to the online database. |
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HCPCS Fee Lookup Utility |
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This CMS web page allows facilities to lookup the fee price for a HCPCS code. Follow the on screen instructions to operate. |
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Beneficiary Notices Initiative |
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Link to CMS master database of commonly used forms. |
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Supplemental Compliance Program Guidance |
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Download and read OIG's updated compliance program guidance for SNFs. This new release takes into account Medicare and Medicaid nursing facility payment systems and regulations, evolving industry practices, current enforcement priorities (including the Government’s heightened focus on quality of care), and lessons learned in the area of nursing facility compliance. |
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Consolidated Billing "Other Services" Exclusion List |
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A Link to CMS web based resource to determine if a service is EXCLUDED from SNF consolidated billing. The services found in this list are services rendered by providers OTHER than physicians. For example CAT Scans, MRI, Chemotherapy, Prosthetics etc. If the HCPCS code in question is NOT on this list, the SNF is responsible for payment in a Part A stay. Choose "YEAR FI Update" in the menu bar to the left then download "update file" to view the list of NON-PHYSICIAN EXCLUSIONS for the year chosen. |
