Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare
CMS issued Transmittal 12146 on July 21, 2123. It carries the same title as the blog.
This Change Request (CR) (4 pages) implements changes to correct claims processing edits. This CR is applicable to the Fiscal Intermediary Shared System (FISS) and the Common Working File (CWF). Skilled Nursing Facilities (SNFs) billing on Type of Bill (TOB) 21X and Swing Bed TOB 18X (subject to SNF Prospective Payment System (PPS) will be subject to these requirements. The changes will also correct hospital overlap edits when billing during an interrupted stay where the hospital claim was processed as a no pay TOB. This CR will modify claims processing to adhere to current policy.
The CR contains no new policy.
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