Consolidated Billing Learning Activities

      • Introduction to Consolidated Billing
      • Exclusions
      • SNF CB HCPC Help File
      • Limiting Financial Liability
      • Resources

Organizations

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Consolidated Billing regulations were implemented in 1998 as part of the Prospective Payment System (PPS).

Consolidated Billing is the process in which the Skilled Nursing Facility is responsible for submitting claims to their MAC for all care and services provided either by the SNF or under arrangement with an outside vendor. In essence, the SNF is financially responsible for the cost of care and services provided unless it falls under a statutory exclusion from consolidated billing.

Target Learners

MDS Coordinator, Management, Business Office, Admissions Nurse

Training Hours

1.7 Hours

CE's

ANCC, NAB

Industry Challenges

Reimbursement Management


Missed Consolidated Billing Charges Can be Expensive $ (rework)

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