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Issue 2006-03, March 2006
MLN Matters. . .Information for Medicare Providers
(Issued by the Centers for Medicare & Medicaid Services)
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New Skilled Nursing Facility (SNF) Consolidated Billing (CB) Web Site Address
Provider Types Affected
Physicians, non-physician practitioners, institutional providers, and suppliers billing Medicare carriers or fiscal intermediaries (FIs) for services provided to SNF patients
Provider Action Needed
The purpose of the instruction in CR4297 is to inform affected providers of the new Web address for SNF consolidated billing information. The new address corresponds to the new Web site from the Centers for Medicare & Medicaid Services (CMS), and this new address is also being placed in the Medicare Claims Processing Manual.
Background
The purpose of Change Request (CR) 4297 is to place the following new Skilled Nursing Facility (SNF) Consolidated Billing (CB) Web site address into the CMS Medicare Claims Processing Manual (Pub. 100-04): http://www.cms.hhs.gov/SNFConsolidatedBilling/  .
Information regarding SNF consolidated billing at this Web page includes the following:
- Services Beyond the Scope of the Part A SNF Benefit
- Edit for Therapy Services Separately Payable When Furnished by a Physician
- Annual Update Process for SNF CB
- Carrier Claims Processing for Consolidated Billing for Physician and Non-Physician Practitioner Services Rendered to Beneficiaries in a Noncovered SNF Stay
Additional Information
For complete details, please see the official instruction issued to your carrier/FI regarding this change. That instruction may be viewed at http://www.cms.hhs.gov/Transmittals/downloads/R846CP.pdf  on the CMS Web site.
If you have any questions, please contact your carrier/FI at their toll-free number, which may be found at http://www.cms.hhs.gov/MedlearnProducts/downloads/CallCenterTollNumDirectory.pdf .
Disclaimer
This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents.
For more information, visit the Medlearn Matters Web page at: http://www.cms.hhs.gov/MedlearnMattersArticles .
Pub. 100-4, Transmittal# R846CP, CR# 4297
Medlearn Matters Number: MM4297
Related CR Release Date: February 10, 2006
Effective Date: December 15, 2005
Implementation Date: March 13, 2006
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