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The SNF annual update file contains a comprehensive list of HCPCS codes involved in editing claims submitted to FIs for services subject to SNF consolidated billing). The CMS has divided these codes into 5 Major Categories.
Major Category I Exclusion of Services Beyond the Scope of a SNF
Major Category II Additional Services Excluded when Rendered to Specific Beneficiaries
Major Category III Additional Excluded Services Rendered by Certified Providers
Major Category IV Additional Excluded Preventive and Screening Services
Major Category V Part B Services Included in SNF Consolidated Billing
If you would like to download a free copy of Detailed Descriptions of the 5 Major Categories for Skilled Nursing Facility (SNF) Consolidated Billing, fill out the form on the right.
"Our relationship with Harmony has definitely increased our RUG rates through education and communication. Our current RUG rate has increased 11% and has more than covered any related costs of doing business."
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