Understanding SNF Consolidated Billing
What You Will Learn
- Understand the 5 Major Categories of Excluded Services, how to identify them and how to communicate these exclusions to providers and residents.
- Learn what the difference is between non-covered and excluded services, when Consolidated Billing is paused or interrupted and how to correctly reflect in billing.
- Identify common provider claim errors and how to remedy them when identified, as well as put policy and procedure in place to avoid them in the future.
- Understand the difference between all of the CMS Fee Schedules, where to find them and know which is appropriate for each site of service/type of bill.
- Review and understand how to meet the requirements outlined in CMS's Best Practice Guidelines.
- Where/how to reach out to CMS when your provider or your MAC is not able to resolve your issue.
What You Will Learn
- Understand the 5 Major Categories of Excluded Services, how to identify them and how to communicate these exclusions to providers and residents.
- Learn what the difference is between non-covered and excluded services, when Consolidated Billing is paused or interrupted and how to correctly reflect in billing.
- Identify common provider claim errors and how to remedy them when identified, as well as put policy and procedure in place to avoid them in the future.
- Understand the difference between all of the CMS Fee Schedules, where to find them and know which is appropriate for each site of service/type of bill.
- Review and understand how to meet the requirements outlined in CMS's Best Practice Guidelines.
- Where/how to reach out to CMS when your provider or your MAC is not able to resolve your issue.
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Price
$55
for Member
$110
for Non-member
90 minutes
Date Published
July 22, 2025
Publisher
Ohio Health Care Association
Subjects
Skilled Nursing
Questions
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Summary
Program Titles and Supporting Materials
This program contains the following components:
Media Files
Downloadable Files
Credit
If applicable, you may obtain credit in multiple jurisdictions simultaneously for this program (see pending/approved list below). If electing credit for this program, registrants in jurisdictions not listed below will receive a Certificate of Completion that may or may not meet credit requirements in other jurisdictions. Where applicable, credit will be only awarded to a paid registrant completing all the requirements of the program as determined by the selected accreditation authority.
Click on jurisdiction for specific details:
How to Attend
Join the self-paced program from your office, home, or hotel room using a computer and high speed internet connection. You may start and stop the program at your convenience, continue where you left off, and review supporting materials as often as you like. Please note: Internet Explorer is no longer a supported browser. We recommend using Google Chrome, Mozilla Firefox or Safari for best results.
Technical Requirements
You may access this course on a computer or mobile device with high speed internet (iPhones require iOS 10 or higher). Recommended browsers are Google Chrome or Mozilla Firefox.
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