(Medicare Claims Processing Manual)

11/02/2018 Hospital and Critical Access Hospital (CAH) Swing -Bed Manual Revisions and Shared Systems Changes 04/01/2019 10962 R4163CP  11/02/2018 Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions (SNF) (2018 Q4) 12/04/2018 11004 R4001CP  03/16/2018 Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions (SNF) (2018) 06/19/2018 4001 R3612CP  09/16/2016 Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions (SNF) 10/18/2016 9748 R3481CP  03/18/2016 Updates to Pub. 100-04, Chapters 3, 6, 7 and 15 to Correct Remittance Advice Messages  06/20/2016 9562 Rev#  Issue Date  Subject  Impl Date  CR#  R3379CP  10/16/2015 Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions (2015) 11/16/2015 9336 R3230CP  04/03/2015 Updates to the Medicare Internet -Only Manual Chapters for Skilled Nursing Facility (SNF) Providers 06/15/2015 8997 R3220CP  03/16/2015 Update to Pub. 100-04, Chapters 5 and 6 to Provide Language-Only Changes for Updating ICD-10, ASC X12, and Medicare Administrative Contractor (MAC) Implementation  09/16/2014 8524 R3216CP  03/13/2015 Updates to the Medicare Internet -Only Manual Chapters for Skilled Nursing Facility (SNF) Providers  Rescinded and replaced by Transmittal 3230  06/15/2015 8997 R3028CP  08/15/2014 Update to Pub. 100-04, Chapters 5 and 6 to Provide Language-Only Changes for Updating ICD-10, ASC X12, and Medicare Administrative Contractor (MAC) Implementation  Rescinded and replaced by Transmittal 3220  09/16/2014 8524 R2921CP  04/04/2014 Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions 05/05/2014 8669 R2899CP  03/07/2014 Pub 100-04, Language Only Update for Chapters Five and Six for Conversion to ICD-10 10/01/2014 8524 R2815CP  11/15/2013 Updates to the Medicare Claims Processing Internet -Only Manual (IOM)  03/18/2014 8490 R2802CP  10/25/2013 2014 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update  01/06/2014 8474 Rev#  Issue Date  Subject  Impl Date  CR#  R2573CP  10/26/2012 Manual Updates to Clarify SNF Claims Processing  04/01/2013 8044 R2399CP  01/26/2012 Clarification for Skilled Nursing Facility (SNF) and Swing Bed (SB) Part A Billing - Updating System Requirements for Assessment Date Reporting and Removal of the Occurrence Code 16 Reporting Requirement  07/02/2012 7717 R2377CP  12/30/2011 Manual Revision to Chapter 6, Section 20.1.1 Physicians Services and Other Professional Services Excluded From Part A PPS Payment and the Consolidated Billing Requirement  01/31/2012 7658 R2245CP  06/16/2011 Manual Clarifications for Skilled Nursing Facility (SNF) Part A Billing  08/01/2011 7339 R2239CP  06/14/2011 Manual Clarifications for Skilled Nursing Facility (SNF) Part A Billing  Rescinded and replaced by Transmittal 2245  08/01/2011 7339 R2183CP  03/25/2011 Manual Clarifications for Skilled Nursing Facility (SNF) Part A Billing  Rescinded and replaced by Transmittal 2239  06/28/2011 7339 R2028CP  08/13/2010 5010 Implementation--Processing Additional International Classification of Diseases, 9th Revision- Clinical Modification (ICD -9-CM) Diagnosis and Procedure Codes in Pricer, Grouper, and the Medicare Code Editor (MCE) 01/03/2011 7004 R2016CP  07/30/2010 5010 Implementation--Processing Additional International Classification of Diseases, 9th Revision -Clinical Modification 01/03/2011 7004 Rev#  Issue Date  Subject  Impl Date  CR#  (ICD -9-CM) Diagnosis and Procedure Codes in Pricer, Grouper, and the Medicare Code Editor (MCE) - Rescinded and replaced by Transmittal 2028  R2011CP  07/30/2010 Revised Instructions for Reporting Assessment Dates under the Inpatient Rehabilitation Facility (IRF), Skilled Nursing Facility (SNF), and Swing Bed (SB) Prospective Payment Systems (PPS)  01/03/2011 7019 R1958CP  04/28/2010 Skilled Nursing Facility (SNF) Health Insurance Prospective Payment System (HIPPS) Coding Updates Effective October 1, 2010 10/04/2010 6916 R1911CP  02/05/2010 Implementation of a New Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edit for Facility Services Billed by Ambulatory Surgical Centers (ASCs)  07/06/2010 6702 R1814CP  09/04/2009 2010 Annual Update of Healthcare Common Procedure Code System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update  01/04/2010 6619 R1757CP  06/19/2009 Claims Processing for Skilled Nursing Facility Consolidated Billing  07/20/2009 6521 R1749CP  06/05/2009 Revised Billing Instructions for Occurrence Span Code 74 on Skilled Nursing Facility (SNF) No Payment Claims  10/05/2009 6523 R1733CP  05/08/2009 Manual Clarification for Skilled Nursing Facility (SNF) and Therapy Billing  04/27/2009 6407 R1706CP  03/27/2009 Manual Clarification for Skilled Nursing Facility (SNF) and Therapy 04/27/2009 6407 Rev#  Issue Date  Subject  Impl Date  CR#  Billing  Rescinded and replaced by Transmittal 1733  R1618CP  10/24/2008 Revision to the Reporting Requirements of Qualifying Hospital Stays on Inpatient Skilled Nursing Facility (SNF) and Swing Bed (SB) Claims  04/06/2009 6233 R1565CP  07/25/2008 Clarification on the Correct Condition Code to Report on Provider Adjustment Requests to Indicate a Health Insurance Prospective Payment System (HIPPS) Code Change 01/05/2009 6002 R1555CP  07/18/2008 Revision of the Requirements for Denial of Payment for New Admissions (DPNA) for Skilled Nursing Facility (SNF) Billing  01/05/2009 6116 R1554CP  07/18/2008 Revision to Skilled Nursing Facility (SNF) Common Working File (CWF) Editing  01/05/2009 6128 R1553CP  07/18/2008 Clarification on the Correct Condition Code to Report on Provider Adjustment Requests to Indicate a Health Insurance Prospective Payment System (HIPPS) Code Change - Rescinded and replaced by Transmittal 1565 01/05/2009 6002 R1472CP  03/06/2008 Update of Institutional Claims References  04/07/2008 5893 R1450CP  02/15/2008 Update to the Common Working File (CWF) to Allow the Posting of Skilled Nursing Facility (SNF) and Swing Bed (SB) Claims to the Beneficiarys Spell of Illness When Qualifying Stay Criteria are Not Met  07/07/2008 5872 Rev#  Issue Date  Subject  Impl Date  CR#  R1421CP  01/25/2008 Update of Institutional Claims References - Rescinded and Replaced by Transmittal 1472 04/07/2008 5893 R1394CP  12/14/2007 Manual Updates to Chapter 6, Skilled Nursing Facility (SNF) Inpatient Part A Billing for No Payment and Medicare Advantage (MA) Claims  03/17/2008 5840 R1365CP  11/02/2007 Additional Common Working File (CWF) Editing for Skilled Nursing Facility (SNF) Consolidated Billing (CB)  Part II  04/07/2008 5757 R1355CP  10/19/2007 National Uniform Billing Committee (NUBC) Update on Revenue Codes and Corrected Skilled Nursing Facility (SNF) Spell of Illness Chart 01/22/2008 5734 R1290CP  07/13/2007 Clarification of Skilled Nursing Facility (SNF) Billing Requirements for Beneficiaries Enrolled in Medicare Advantage (MA) Plans  01/07/2008 5653 R1289CP  07/13/2007 Additional Common Working File (CWF) Editing for Skilled Nursing Facility (SNF) Consolidated Billing (CB)  01/02/2008 5624 R1252CP  05/25/2007 Clarification of Skilled Nursing Facility (SNF) No Pay Billing  08/27/2007 5583 R1151CP  01/11/2007 Skilled Nursing Facility (SNF) Consolidated Billing (CB) Common Working File (CWF) Edit Bypass Instructions for Hospital Emergency Room (ER) Services Spanning Multiple Service Dates  04/02/2007 5389 R1109CP  11/09/2006 Skilled Nursing Facility (SNF) Consolidated Billing (CB) Common Working File (CWF) Edit Bypass Instructions for Hospital Emergency 04/02/2007 5389 Rev#  Issue Date  Subject  Impl Date  CR#  Room (ER) Services Spanning Multiple Service Dates  R1068CP  09/27/2006 2007 Annual Update of HCPCS Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) for the Common Working File (CWF), Medicare Carriers and Fiscal Intermediaries (FIs)  01/02/2007 5283 R1009CP  07/28/2006 Correction to Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement if SNF Inpatient Claims are Partially Non -Covered  01/02/2007 5220 R980CP  06/14/2006 Changes Conforming to CR 3648 Instructions for Therapy Services - Replaces Rev. 941  10/02/2006 4014 R941CP  05/05/2006 Changes Conforming to CR 3648 Instructions for Therapy Services 10/02/2006 4014 R930CP  04/28/2006 Benefits Exhaust and No- Payment Billing Instructions for Medicare Fiscal Intermediaries (FIs) and Skilled Nursing Facilities (SNFs)  10/02/2006 4292 R926CP  04/28/2006 Common Working File (CWF) File Change for Skilled Nursing Facility (SNF) Consolidated Billing (CB) 10/02/2006 4390 R846CP  02/10/2006 New Skilled Nursing Facility Consolidated Billing Web Site Address 03/13/2006 4297 R767CP  12/02/2005 SNF PPS Revisions to IOM 100-04-Manualization  N/A 4080 R740CP  11/01/2005 Change to the Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Evaluation and Management (E&M) Services Billed to Fiscal Intermediaries (FIs) by Hospitals  04/03/2006 3910 Rev#  Issue Date  Subject  Impl Date  CR#  R696CP  10/07/2005 2006 Annual Update of HCPCS Codes for Skilled Nursing Facility (SNF)