Be attuned to consolidated billing changes that could affect your wallet

Why This Topic Matters

SNF consolidated billing changes can affect whether services are separately payable or bundled into facility payment, which has direct reimbursement and claims-processing implications for providers and billing teams.

Article Sections

1. CMS update to SNF consolidated billing

   An overview of recent changes CMS made to the skilled nursing facility consolidated billing system and the timing of those updates.

2. Claims edit for selected therapy codes

   Discussion of a new claims edit intended to address payment issues for a group of therapy-related procedure codes under SNF consolidated billing.

3. Services excluded from consolidated billing

   A summary of certain respiratory and pre-operative services that are described as not being included in consolidated billing and their general payment treatment.

4. Swallow testing and speech device services

   Coverage and billing treatment for specified evaluation and testing services in the SNF setting, including how their status differs across payment contexts.