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Survey and Certification Issues Related to Liability Notices and Beneficiary Appeal Rights in Nursing Homes

Guidance for: This memorandum reviews a Skilled Nursing Facility provider’s obligations to issue Medicare beneficiary liability notices, a Medicare beneficiary’s rights related to standard claim and expedited appeals, and the surveyor’s responsibility to determine compliance with Medicare notice and billing requirements for determinations of non-coverage.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: January 09, 2009

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.