Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Patient-Driven Payment Model (PDPM) Claims Processing Updates to Current Editing
The purpose of this Change Request (CR) is to implement enhancements to current editing to account for claims that have interrupted stays that span two months and also to modify current editing for Occurrence Span Code (OSC) edits to allow for proper claims adjudication.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: April 21, 2023
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