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The Billers’ Association for Long-Term Care (BALTC) is a membership community created specifically for professionals involved in the long-term care revenue cycle. This national association provides members with a resource of continuously updated tools, reimbursement and regulatory guidance, and education to help prevent revenue loss and documentation and billing errors so providers can withstand audits at any point in time. With its involved expert advisory board members and active talk group, this engaged group of professionals is a great place for sharing and receiving best practices, tips, and tools with your peers.

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Get the revised SNFABN and instructions, mandatory for use beginning May 7

Mar 08, 2018
The Bottom Line

CMS has released a newly revised skilled nursing facility advanced beneficiary notice (SNFABN) along with newly developed, concise and separate instructions for form completion.  The revised SNFABN has the requirements from the denial letters and looks very similar to the ABN with 3 different options.

CMS will be discontinuing the 5 SNF Denial Letters and the Notice of Exclusion from Medicare Benefits – Skilled Nursing Facility (NEMB-SNF). Since the NEMB-SNF was used as a voluntary notice for care that is never covered by Medicare, the agency will continue to encourage SNFs to issue the revised SNFABN in this voluntary capacity.  Chapter 30, Section 70 of the Medicare Claims Processing Manual revisions will be forthcoming.  The revised SNFABN will be mandatory for use on May 7, 2018.  During the interim, SNFs may continue to use the old version of the SNFABN, the Denial Letters or the NEMB-SNF, however, it is recommended that the revised SNFABN be used as soon as possible.  Click here to download the revised SNFABN and the form instructions before May 7!

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