Medical Review of Skilled Nursing Facility (SNF) Claims Using the MDS QC System Software
This CR revises chapter 6 of the Program Integrity Manual to provide
instruction to contractors who review SNF claims in the use of the MDS QC System Software to adjust
those claims.
The information previously in 6.1.5 was incorporated into 6.1.1, letter A. Section 6.1.6 was deleted because
it was not unique to SNF and is covered elswehere in the PIM, and 6.1.7 was deleted because it did not
contain any instructions. The Exhibits were moved to 6.1.5 for historical reference purposes.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: March 30, 2007
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.