Skilled nursing providers can re-bill the Centers for Medicare & Medicaid Services after an error wrongly canceled some Medicare Part A claims, according to the American Health Care Association.
The software issue occurred between Jan. 26 and Feb. 16 and caused many SNF claims to be canceled. It stated that there was no three-day qualifying hospital stay. The issue has since been corrected, AHCA said.
The agency has now provided guidance on how SNFs can receive the correct payments. Providers whose claims were wrongly canceled must re-bill them in sequential order to receive payment, the association noted.
Additionally, claims need to be processed by the date of service order for each stay for the Variable Per Diem in order to calculate correctly. Providers must also submit claims in sequence and wait at least two weeks before billing subsequent claims.
AHCA added that some of the affected claims with older dates of service will require a timely filing exception. Providers should enter “Resubmission due to non-qualifying stay” in the remarks field.
SNFs are also encouraged to contact their MAC to receive the Medicare Beneficiary Identifier for deceased beneficiaries.
