Provider Specialties/Services

All Providers

2011 Annual Update to the Skilled Nursing Facility (SNF) Consolidated Billing (CB) Files
Access information(external link) regarding the Skilled Nursing Facility Consolidated Billing Annual Update File for Services Billed to Fiscal Intermediaries for Payment
Body Surface Area CalculationAdobe Portable Document Format
Institutional billing codes are available from the NUBC(external link) via the NUBC's Official UB-04 Data Specifications Manual.
Calculating Therapy Units
CMS Medicare Managed Care Directory(external link) - Obtain a managed care plan contract name, contract number, mailing address and telephone number.
D9 Condition Code Remarks
Deductible and Coinsurance for Preventive ServicesAdobe Portable Document Format
Medicare Part B Therapy Billing Guide
Medicare Secondary Payer (MSP) Tips
"Under Arrangement" Agreements – Skilled Nursing Facility (SNF) Consolidated Billing
Understanding the Major Categories of Exclusion from Consolidated BillingAdobe Portable Document Format
When Is Medicare The Secondary Payer?

Ambulance

The WPS Medicare Ambulance Guide is currently being revised. Watch here for the new version in a few weeks.

Critical Access Hospital (CAH)

Certified Registered Nurse Anesthetist (CRNA) Practice and Chronic Pain Management

End Stage Renal Disease (ESRD) Resources

Access additional information regarding End Stage Renal Disease (ESRD) Payment including the new final rule.
ESRD Related Laboratory Billing Cheat SheetAdobe Portable Document Format
Review an ESRD consolidated billing claim example on CMS' ESRD Consolidated Billing page.

Inpatient Prospective Payment System (IPPS)

Inpatient vs. Observation Decision TreeAdobe Portable Document Format

Long Term Care Hospital

Long Term Care Hospital Short Stay Flow ChartAdobe Portable Document Format

Skilled Nursing Facility (SNF)

Highlights of the FY2012 SNF PPS Final Rule
MDS Calendar - The MDS Calendar is used for calculating assessment periods for skilled nursing facilities.
Skilled Nursing Facility (SNF) Spell of Illness Quick Reference ChartAdobe Portable Document Format - The chart provides Medicare claims processing information related to SNF spells of illness.
SNF Notices Of Non-Coverage Cheat Sheet
The SNF PPS MDS Payment SchedulerAdobe Portable Document Format - is a reference tool to assist facilities with SNF billing

Page Last Updated: Thursday, 05-Apr-2012 11:35:38 CDT