Facility administration receives a request from CMS for a medical review of a Medicare Part A claim.. Question
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Facility administration receives a request from CMS for a medical review of a Medicare Part A claim. Which of the following is true about federal requirements for skilled nursing facility (SNF) documentation in support of medical review?
The only documentation requirement for a SNF is to substantiate the Health Insurance Prospective Payment System (HIPPS) code during the look-back period. If the code is supported, the claim will be paid.
A SNF chart must have section GG usual admission performance documented per shift on a flowchart during the look-back period.
The only documentation requirement for a SNF is to substantiate that a daily skilled need was treated during the payment period.
A SNF chart must substantiate the HIPPS code during the look-back period and verify that a daily skilled need was treated during the payment period.
SCIENCE
HEALTH SCIENCE
NURSING
ULC D047
Facility administration receives a request from CMS for a medical review of a Medicare Part A claim.
