As the need for senior care rises, the Centers for Medicare & Medicaid Services (CMS) is rolling out significant updates in 2025 that will reshape how Skilled Nursing Facilities (SNFs) handle billing. These changes include new regulations, updated reimbursement structures, and stricter documentation ...
The hospital charge is excluded from consolidated billing because it is billed using an E&M code; therefore, the hospital may bill Part B rather than billing the SNF. SNFs still must be mindful, however, of when a diagnostic test is subject to consolidated billing under Part A and therefore...