Skilled Nursing Facility (SNF) Claims Processing Updates

This article tells you about updates to Skilled Nursing Facility (SNF) edits to bypass services related to an emergency room encounter when there is a revenue code of 250 on the same claim. Change Request (CR) 12344 also updates certain Fiscal Intermediary Shared System (FISS) and Common Working File (CWF) edits for overlapping claims when there is a no-pay hospital claim during an interrupted stay. Make sure your billing staff knows about these changes.

Last Updated: 11/08/2021