Revised Instructions for Reporting Assessment Dates under the Inpatient Rehabilitation Facility (IRF), Skilled Nursing Facility (SNF), and Swing Bed (SB) Prospective Payment Systems (PPSs) - Make Your Revenue Smarter

MLN Matters® Number: MM7019 Related Change Request (CR) #: 7019

Related CR Release Date: July 30, 2010 Effective Date: January 1, 2011

Related CR Transmittal #: R2011CP Implementation Date: January 3, 2011

 

from MLN Matters:

Current Medicare instruction requires IRF and SNF PPS providers to report assessment dates in form locator 45, Service Date, of the UB-04 form or loop 2400, Date and Time Period (DTP) Assessment Date field, in the current 4010A1 837I electronic version. The DTP Assessment Date is removed from the new 837I electronic version. Because of the removal of this field, you will no longer be able to report assessment dates in the service date fields.
For IRF PPS, IRFs will begin using occurrence code 50 to report the date on which assessment data was transmitted to the CMS National Assessment Collection Database. Providers should no longer report this date in the service date field on the UB-04 and the 837I electronic version for dates of service on or after January 1, 2011. Occurrence code 50 must be reported on all IRF PPS 11x bill types for dates of service on or after January 1, 2011. Medicare will return such claims as unprocessed if you fail to include occurrence code 50.

Links:

Complete document is found here. (PDF format, 3 pages, 68 KB)

 

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