Tuesday, October 28, 2014

Mass Adjustment of Selected SNF Claims

Dan Ciolek

Since August 25, 2014, the Medicare claims processing system has been incorrectly calculating the expenses subject to deductible for Skilled Nursing Facility (SNF) inpatient claims (Type of Bill (TOB) 22x with Healthcare Common Procedure Code (HCPC) 97116. As a result, these claims have been overpaid. Once the system is fixed on October 27, Medicare Administrative Contractors (MACs) will adjust claims received on or after August 25, 2014, through October 27, 2014.

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