Skilled nursing facility
View all skilled nursing facility-related articles >>
Spotlight
- Checklist: Skilled nursing facility (SNF) documentation
This checklist is an aid to assist skilled nursing facilities with responding to medical record documentation requests.
LCD / NCD – policy information
LCDs
Search for SNF-related LCDs using these available tools:
- Interactive LCD index tool
- View First Coast’s active / proposed LCDs / articles on CMS’ Medicare coverage database (MCD)
NCDs
CMS Internet-only manual (IOM)
The CMS’ IOMs contain day-to-day operating instructions, policies, and procedures based on statutes, regulations, guidelines, models, and directives.
The following CMS IOMs contains information specific to skilled nursing facility providers:
- Publication 100-04 -- Medicare Claims Processing Manual -- Chapter 6
- Publication 100-04 -- Medicare Claims Processing Manual -- Chapter 7
Education
Utilize educational information from First Coast and CMS on skilled nursing facility services.
- CMS skilled nursing facility (SNF) consolidated billing web-based training course
- Skilled nursing facility prospective payment system fact sheet
- Swing bed fact sheet
- Residents in covered Part A stays for rural providers
- View First Coast upcoming events
- Search for CMS upcoming events
- CMS open door forums -- overview
- Patient Driven Payment Model
- SNF Spotlight: CERT top denial reasons for SNF reviews
- Medical necessity requirements for skilled nursing facility (SNF) admissions
- Skilled Nursing Facility PPS Web Pricer
- MM13767 Improving Payment Accuracy for Physician Services in Skilled Nursing Facilities
- Change request (CR) 14098: Transforming Episode Accountability Model (TEAM) 3-day SNF waiver – Implementation
Resources
Listed below are additional resources identified specifically for skilled nursing facility providers:
- SNF ABN Form CMS-10055 and instructions
- Skilled nursing facility 3-day rule billing
- Skilled nursing care & skilled therapy services to maintain function or prevent or slow decline reminder: Jimmo Reminder
- Skilled nursing facility ID and contact information
- CMS Certification & Compliance
- CMS Skilled Nursing Facility Center
- SNF Prospective Payment System
- Nursing Home Quality Initiatives
- List of SNF Federal Regulations
- Minimum Data Set (MDS) requirements
- SNF Spell of Illness Quick Reference Chart
- SNF Provider Compliance-MLN Connects®
- Inpatient SNF services: Common denials and how to avoid them
- SNF Quality Reporting Program (QRP) Training | CMS
- SNF consolidated billing
Medical documentation
Medical documentation is used to verify that services were billed correctly and to ensure that payment and processing of Medicare claim(s) are accurate and based on sound policy. Find information, tips, and resources regarding medical documentation.
Stay informed
Subscribe
Stay updated on the latest Medicare information with free email subscriptions from First Coast and CMS.
View archives
Access previously published emails you may have missed.