Items of Interest for SNF

Items of Interest

This page contains .PDF files of CMS guidelines for Medicare providers and websites of interest. The free Adobe Acrobat Reader is required to view these files.

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Federal Register:

pages

SNF Interim Final Rule May 12th 2009

Explains the proposed RUG IV system

Identifies changes planned for use of concurrent therapy under Part A

Plans to eliminate "look back" into hospital stay to increase payment

Eliminating prediction through section T

Utilization of Start of care OMRA for initiation of therapy

Eliminates 8 - 10 day grace period before OMRA completed when nursing still providing skilled care

22220 to 22222

22222 to 22225

22227 to 22228

22244 to 22245

22245 to 22246

22246

Final Rule for SNF PPS - July 30th 1999

Full explanation of use of grace days, who can provide therapy services, use of group and concurrent therapy, etc

41657 to 41670

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CMS Manuals:
Benefit Policy Manual	Chapter 8: Coverage of Extended Care (SNF) Services Under Hospital Insurance	Identifies regulations covering technical and clinical requirements for coverage
Benefit Policy Manual	Chapter 15: Coverage Medical and Other Health Services	Sections 220 and 230 identify all regulations concerning Part B services by therapy
Claims Processing Manual	Chapter 5: Part B Outpatient Rehabilitation and CORF/OPT Services	Describes billing practices for the therapy exception process and provides examples of the 8 minute rule calculations
Program Integrity Manual	Chapter 6: Intermediary MR Guidelines for Specific Services	Describes the Medical Review Process for SNF Part A claims
CMS Website
Main Website	Leads everywhere, unfortunately gets very confusing!	www.cms.hhs.gov
Manuals	Direct access to all IOM manuals	www.cms.hhs.gov/manuals
LCDs	Obtain the LCDs from your contractor through this site.	www.cms.hhs.gov/mcd/indexes.asp
MDS RUGs Reports	Reports on National and State utilization (Compare your facility)	www.cms.hhs.gov/MDSPubQIandResRep/07_rugsreport.asp
Draft MDS 3.0	Most recent copy of proposed new MDS	www.cms.hhs.gov/NursingHomeQualityInits/25_NHQIMDS30.asp
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Professional Associations
American Physical Therapy Association	www.APTA.org
American Occupational Therapy Association	www.AOTA.org
American Speech Hearing Association	www.ASHA.org
American Health Care Association	www.ahca.org
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Publications
Advance for Magazines	www.advanceweb.com
Today in PT	www.todayinpt.com

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Last updated March 4th 2010