One of the provisions of the Balanced Budget Act (BBA) of 1997 (Section 4432b) requires consolidated billing for SNFs. The consolidated billing requirement confers on the SNF the billing responsibility for the entire package of care residents receive during a covered Part A SNF stay, as well as physical, occupational, and speech therapy services received during a non-covered stay.
A limited number of services are specifically excluded from consolidated billing and therefore separately payable under Part B. These exceptions, as well as additional information concerning SNF consolidated billing, can be found on the CMS website at the CMS SNF consolidated billing webpage.
See additional information in our SNF overlap FAQ.
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