Skilled Nursing

News and Important Information

Effective October 01, 2019,  CMS- Patient-Driven Payment Model  

Special Skilled Nursing Facility (SNF) Billing Exceptions for Laboratory Tests

Pain Codes in ICD-10-CM

 

Find-A-Code's Tools & Resources

Click-A-Dex™

Click-A-Dex™ Index Search Tool

Build-A-Code

Step-by-step coding from all major code sets.

NCCI Edits Validator

Validate using NCCI edits for errors in code selection.

Pro-Fee Calculator

Verify Medicare Reimbursement and UCR Fees for Professional Services

Commercial Payer Policies

View Clinical Indications for Medical necessity on procedures, Suggested Code Selection to assist your clinical judgment includes citations.

Find-A-NPI™

Find-A-NPI™ Fast Provider Lookup

Code Sets

ICD-10-CM Codes

ICD-10-CM Diagnosis Codes

CPT Code Set

Procedure Codes (Use 99304-99318 for Nsg Facility Services)

Medicare Required SNF PPS Assessments

Prospective Payment System (SNF PPS) assessments topics

Additional Links and Resources

Novitas: Skilled Nursing Resources

Resources and references for Skilled Nursing from Novitas

SNF Inpatient Part A Billing and SNF Consolidated Billing

Ch. 6 Medicare Claims Processing Manual

SNF Part B Billing (Including Inpatient Part B and Outpatient Fee Schedule)

Ch. 7 Medicare Claims Processing Manual

Drugs and Biologicals Pub-100 Ch 17

Drugs and Biologicals Pub-100 Ch 17

Billing Requirements for OPPS

Billing Requirements for OPPS Providers with Multiple Service Locations

Home Health Medicare Billing Codes Sheet

CGS - Home Health Medicare Billing Codes Sheet

Implementation of the SNF PDPM

Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM)

Standard Written Order (SWO)

Dates of Service on or After January 1, 2020

Select the title to see a summary and a link to the full article.

New CPT® Codes Approved for COVID-19 Antibody Identification

|

On April 10, 2020, the American Medical Association approved and published a revision of code 86318 and added two new codes 86328 and 86769 for reporting Coronavirus [COVID-19] antibody testing.

Read the article →

CMS-Coverage for Therapeutic Shoes for Individuals with Diabetes

|

Therapeutic shoes and inserts can play a vital role in a diabetic patient's health. Medicare may cover one pair every year and three pairs of custom inserts each calendar year if the patient qualifies and everything is handled correctly.  Medicare Benefit Policy Manual explains what is needed for a person with diabetes to ...

Read the article →

Who Qualifies for Chronic Care Management Services

|

Per MLN Chronic Care Management Services, the following patients are eligible: "Patients with multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient, and that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, are eligible for CCM services." Examples of chronic conditions ...

Read the article →

CMS- Patient Driven Payment Model Effective October 01, 2019

|

According to CMS, In July 2018, CMS finalized a new case-mix classification model, the Patient-Driven Payment Model (PDPM), that, effective beginning October 1, 2019, will be used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for classifying SNF patients in a covered Part A stay. Using the new Patient-Driven ...

Read the article →

Do ICD-10 Updates Have Your Heart Beating Irregularly? Check Out the New Atrial Fibrillation Codes

|

Atrial fibrillation (AF) is the most common type of abnormal heart rhythm (arrhythmia). It is caused by a disorder in the heart’s electrical system. AF is the result of abnormal contractions of the atria (upper two chambers of the heart) causing them to quiver and beat out of sync with ...

Read the article →

Medical ID Theft

|

Medical ID Theft "So, do you guys think you can do something with that?" John asked angrily at our first meeting with him in August 2017 as he slammed a stack of medical bills, EOBs and collection letters - three inches high - down in front of my partner and I. ...

Read the article →

The OIG Work Plan: What Is It and Why Should I Care?

|

The Department of Health and Human Services (HHS) founded its Office of Inspector General (OIG) in 1976 and tasked it with the responsibility to combat waste, fraud, and abuse within Medicare, Medicaid, and the other HHS programs. With approximately 1,600 employees, HHS OIG is the largest inspector general's office within ...

Read the article →

The Facts of Critical Care

|

Critical care services remain to not only be an area of confusion for providers, coders, and auditors, but also a constant target for the carriers for audit. We can sit back and look at critical care and think of all of the ways the code descriptor and/or use could be ...

Read the article →

5 Ways to Minimize HIPAA Liabilities

|

Last year was historic for HIPAA enforcement. The HHS Office of Civil Rights collected a record $23.5 million in settlements and judgments against providers guilty of HIPAA violations. To avoid becoming part of that unwanted statistic, it’s important to pay extra close attention to five key areas of HIPAA vulnerability. Take ...

Read the article →

How to Properly Report Monitoring Patients Taking Blood-thinning Medications

|

Codes 93792 and 93792, which were added effective January 1, 2019, have specific guidelines that need to be followed. This article provides some guidance and tips on properly reporting these services.

Read the article →

Spinal Cord Stimulator Used for Chronic Pain

|

Chronic pain is a condition that can be diagnosed on its own or diagnosed as a part of another condition. When coding chronic pain, there is no time frame defining when pain becomes chronic pain; the provider’s documentation should be used to guide the use of these codes. ICD-10-CM Diagnosis Codes ...

Read the article →

Pain Codes in ICD-10-CM

|

When coding with ICD-10-CM, pain codes can be found in different sections: The Body System affected or site-specific pain codes, such as Low Back Pain M54.5, can be found in Chapter 13. Diseases of the Musculoskeletal system (M00-M99). Other examples might be ocular pain H57.1, found in Chapter 7. Diseases of ...

Read the article →

Show older articles ↓


There are more articles. View all articles...

View articles for the current specialty by subtopic:




Access to this feature is available in the following products:
  • HCC Coder
  • Find-A-Code Professional
  • Find-A-Code Facility Base


Select the webinar title to view a summary and link to the webinar video.

How to PREVENT and HEAL Dental Problems so You Can Enjoy a Healthy Body and Life

In this webinar Dr. Jorgensen will share with you the REAL causes of dental disease and techniques for prevention and healing. You will also learn about dental problems that may be making you or your patients SICK, how to identify them, and what can be done to help them get better. Finally, she will tell you about cutting edge dental and health practices you need to know about to improve your patient's health, and how to find a dentist that can provide this care. Don't miss this life-changing webinar!

Watch the video →

Proper Coding and Billing for Drugs, Biologicals and Injections

Proper Coding and Billing for Drugs, Biologicals and Injections

Watch the video →

How to Check NCCI Edits Using FindACode

How to Check NCCI Edits Using FindACode

Watch the video →

Show older webinars ↓


Home Health and Hospice Resources

  • ICD-10-CM Specialty Specific Code Book
  • Provider Documentation Guides
  • ICD-10-CM Comprehensive Code Books
  • and more...


suggest a resource

If you know of a resource that should be included here (links, data, etc.) please contact us.

free demo
request yours today
pricing
for any budget
sign IN
welcome back!