Skilled Nursing Facility Resources

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Federal Register:
SNF Interim Final Rule May 12th 2009
Pages
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

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

Medicare Learning Network Articles
Effective Date
MLN Number
Topic
January 1 2011
MM7080
CMS Manuals
Benefit Policy Manual
Chapter 8: Coverage of Extended Care (SNF) Services Under Hospital Insurance
Benefit Policy Manual
Chapter 15: Coverage Medical and Other Health Services
Claims Processing Manual
Chapter 5: Part B Outpatient Rehabilitation and CORF/OPT Services
Program Integrity Manual
Chapter 6: Intermediary MR Guidelines for Specific Services
CMS Website
Main Website
Leads everywhere, unfortunately gets very confusing!
Manuals
Direct access to all IOM manuals
LCDs
Obtain the LCDs from your contractor through this site.
MDS RUGs Reports
Reports on National and State utilization (Compare your facility)
MDS 3.0
Training Material for MDS 3.0
RAI Manual
Download at bottom of page
Professional Associations
American Physical Therapy Association
American Occupational Therapy Association
American Speech Hearing Association
American Health Care Association
Publications
Advance for Magazines
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