MM13149 - Skilled Nursing Facility Prospective Payment System: Updates to Current Claims
This revised Article comprises Subregulatory Guidance for improved editing of claims that have interrupted stays that span 2 months and modified editing for occurrence span code (OSC) edits allowing for proper claims decisions. MLN Matters (MM) Articles are based on information contained within Change Requests (CRs). In this case, this article is based on content within CR13149 that is posted on the CMS website at https://www.cms.gov/files/document/r12023cp.pdf .
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: April 20, 2023
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.