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Education & Training

The Medicare Learning Network® (MLN)

To find education, information, and resources for the Medicare Fee-For-Service provider community, scroll to the “Related Links” Section and select “MLN General Information.” On the MLN General Information Page, select “Educational Products” from the list to find links to the following:

  • The MLN Publications List, which contains the electronic versions of the downloadable publications.
  • The MLN Product Ordering Page, which allows you to order hard copy versions of many of our products.

To access the Skilled Nursing Facility Consolidated Billing Web-Based Training Course scroll to the “Related Links” Section and select “Web-Based Training (WBT) Courses.” This course provides education for providers, suppliers, and other health care professionals about SNF CB requirements. It includes information on the payment for the majority of services provided to beneficiaries in a Medicare-covered SNF stay, including most services provided by entities other than the SNF. It also includes information on bundled prospective payments made through the Fiscal Intermediary/A/B Medicare Administrative Contractor to the SNF.  

This web-based training (WBT) course is designed to provide education for providers suppliers, and other health care professionals about SNF CB requirements. It includes information on the payment for the majority of services provided to beneficiaries in a Medicare-covered SNF stay, including most services provided by entities other than the SNF. It also includes information on bundled prospective payments made through the Fiscal Intermediary (FI)/A/B Medicare Administrative Contractor (A/B MAC) to the SNF.

This activity is designed for all health care provider types. The goal of this activity is to educate the health care professionals about Skilled Nursing Facility Consolidated Billing.

Upon completion of this course, you should be able to correctly:

  • Identify Skilled Nursing Facility coverage and payment guidelines;
  • Recognize why Congress enacted Consolidated Billing;
  • Describe Skilled Nursing Facility Consolidated Billing;
  • Identify when Skilled Nursing Facility Consolidated Billing requirements do not apply;
  • Recognize the services excluded from Skilled Nursing Facility Consolidated Billing;
  • Identify the services that are included under Skilled Nursing Facility Consolidated Billing for beneficiaries in a noncovered stay;
  • Describe “under arrangement” agreements between Skilled Nursing Facilities and other providers or suppliers.

For more information about SNF billing, select “Medicare Billing Information for Providers and Suppliers: SNF” from the "Downloads" section below.

CMS Manual System

Skilled Nursing Facility PPS Manual

Swing Bed Manual - Revised November 2005: These changes are effective November 2005 (See Download section below)

We have completed an update to the MDS manual, and it has been posted on our web site at http://www.cms.hhs.gov/MinimumDatasets20.

We had planned to integrate the swing bed manual into this new MDSE manual. However, in reviewing the comments on the draft, the consensus was that it would be better to keep the two manuals separate. We agreed and deleted the swing bed sections from the updated MDSE version.

Of course, the swing bed hospitals are still subject to the same MDS coding requirements as the nursing facilities. For this reason, we are reviewing and updating the Swing Bed Manual to make sure it reflects any new information included in the December 2002 edition of the MDSE Manual.
 

RUG IV Education