Enhancing Compliance and Payment Accuracy for Physician Services in Skilled Nursing Facilities
The purpose of this Change Request (CR) is to instruct the Common Working File (CWF) to establish a system edit and an Informational Unsolicited Response (IUR) that identifies instances in which physicians incorrectly use Place of Service (POS) code 32, Nursing Facility (NF) or Skilled Nursing Facility (SNF) with no Part A coverage, while a beneficiary is in a covered Part A SNF stay.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: March 13, 2025
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