SNF Program Transmittals
The list below shows the transmittals that are directed to the Skilled Nursing Facilities PPS provider community, but the list may not include all instructions for which Skilled Nursing Facilities PPS providers are responsible. For a list of all instructions, view the Transmittals web page under Regulations and Guidance.
File | Release Dt | Subject |
---|---|---|
A-00-08.60 | N/A | CR 1064: Payment Safeguard Review of SNF Prospective Payment Bills--Updated Instructions |
A-00-46 | 08/03/2000 | CR 1224: SNF Adjustment Billing: Adjustment to HIPPS Codes Resulting From MDS Corrections |
A-00-47.60 | 08/07/2000 | CR 1223: SNF Annual Update: PPS Pricer and Health Insurance PPS (HIPPS) Coding Changes |
AB-01-131 | N/A | CR 1761: Fiscal Intermediary (FI) Instructions on Applying Payment Bans on Skilled Nursing Facility (SNF) Admissions |
A-02-057 | 07/03/2002 | CR 2220: Medicare Part A SNF PPS Update |
A-02-121 | 07/03/2002 | CR 1224: SNF Adjustment Billing: Adjustments to HIPPS Codes Resulting from MDS Corrections |
A-03-075 | 08/29/2003 | CR 2893: Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Update |
Transmittal 13 | 10/2003 | Provider Reimbursement Manual, Part 2, Provider Cost Reporting Forms and Instructions,Chapter 35, Form CMS-2540-96 |
Transmittal 11 | 10/2003 | Provider Reimbursement Manual, Part 2, Provider Cost Reporting Forms and Instructions, Chapter 36, Form CMS-2552-96 |
Transmittal 68 | 01/16/2004 | CR 3052: New Requirements for CAHs |
Transmittal 74 | 04/23/2004 | CR 3150: SNF Certification and Recertification |
3291 | 2004-04-30 | Section 511 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 Special Adjustment for Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Rates for Acquired Immune Deficiency Syndrome (AIDS) |
3252 | 2004-05-28 | Updated SNF Help File Available for Calendar Year 2004 |
3338 | 2004-06-10 | Revised Updated SNF NO PAY File for July 2004 |
2453 | 2004-07-02 | SNF CB Requirements for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies. |
3352 | 2004-07-09 | Temporary SNF Extension |
3323 | 2004-07-20 | Additional Clarification of Bill Types 22x and 23x Submitted by Skilled Nursing Facilities (SNFs) With Instructions for Involuntarily Moving a Beneficiary Out of the SNF and Ending a Benefit Period. |
3534 | 2004-10-20 | Removal of the Skilled Nursing Facility (SNF) No Pay File |
3651 | 2004-12-23 | Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2005 for 9 Metropolitan Statistical Areas (MSAs) with New Wage Index Values Effective January 1, 2005 |
A-00-01.60 | N/A | CB for SNF Patients When Receiving Outpatient/Emergency Care in a Medicare-Participating Hospital or CAH |
AB-00-18.60 | N/A | Consolidated Billing for SNFs - Balanced Budget Refinement Act of 1999 |
A-00-88.60 | 11/22/2000 | Fee Schedule and CB and SNF Services |
B-00-67.60 | 11/27/2000 | Consolidated Billing for SNF Residents |
AB-01-33.60 | N/A | Delay of Carrier and Intermediary Actions Required in CRs 1256 and 1323, CB for SNF Residents, and Fee Schedule for Part B Residents and Outpatients |
AB-01-71.60 | N/A | Billing for Audiologic Function Tests For Beneficiaries That Are Patients of a SNF |
A-01-94.60 | N/A | Implementation of Fee Schedule for Additional Part B Services Furnished by a SNF or Another Entity Under Arrangements with the SNF |
AB-01-158.60 | N/A | New Common Working File (CWF) Edits and Standard System Responses on SNF Claims |
AB-01-159.60 | N/A | Common Working File (CWF) Reject and Utilization Edits and Carrier Resolution for Consolidated Billing for SNF Residents |
A-01-135.60 | N/A | HCPCS Code Updates and Corrections for SNF Part A PPS Consolidated Billing and SNF Part B Fee Schedule for 2002. |
A-01-142.60 | N/A | Clarification and HCPCs Coding Update: Part B Fee Schedule And CB for SNF Services |
B-02-002.60 | N/A | Notification to Carriers and Providers of SNF CB Coding Information on CMS Web site |
A-01-119.60 | N/A | Correction to Program Memorandum (PM) A-01-94 (CR 1689): Implementation of Fee Schedule for Additional Part B Services Furnished by a SNF or Another Entity Under Arrangements with the SNF |
AB-02-021.60 | N/A | Common Working File (CWF) Unsolicited Response Edit and Carrier Resolution for Consolidated Billing for SNF Residents |
AB-02-023.60 | N/A | Common Working File (CWF) Edits with Unsolicited Responses for SNF Consolidated Billing |
AB-02-037.60 | N/A | Reissue of information in CR 1955, Transmittal AB-02-021, Common Working File (CWF) Unsolicited Response Edit and Carrier Resolution for Consolidated Billing for SNF Residents |
AB-02-027.60 | N/A | Corrections to Program Memorandum (PM) A-01-135 -- Codes Billable by SNFs and Suppliers for SNF Residents |
A-02-101 | N/A | Corrections to: Changes to the PPS & Consolidated Billing for SNF-Update as published in the Federal Register, FY2001 (66 FR 39572, July 31, 2001), and Transmittal A-01-144, December 20, 2001 |
AB-02-043.60 | N/A | Corrections to Program Memorandum (PM) A-01-135 -- Codes Billable by SNFs and Suppliers for SNF Residents |
B-02-067 | N/A | Revision to Messages for SNF Consolidated Billing and Implementation of Common Working File (CWF) Edits for Clinical Social Workers (CSWs) for SNF Consolidated Billing |
A-02-118 | N/A | Annual Update of HCPCS Codes Used for SNF Consolidated Billing Enforcemnt, Updated SNF Help File |
AB-02-175 | N/A | Revisions to CWF Edits for SNF Consolidated Billing to Permit Payment for Certain Diagnostic Services Furnished to Beneficiaries Receiving Treatment for ENd Stage Renal Disease (ESRD) at an Independent or Provider-Based Dialysis Facility |
2926 | 2003-10-31 | Annual Update of HCPCS Codes used for SNF Consolidated Billing Enforcement |
CR 2944 | 02/06/2004 | Implementation of Skilled Nursing Facility Consolidated Billing CWF Edit for Therapy Codes Considered Separately Payable Physician Services |
2983 | 12/08/2003 | Revised SNF NO PAY File, Effective January 1, 2004 |
CR 3070 | 02/06/2004 | Updates to the January 2004 Annual Update of HCPCS Codes Used for Skilled Nursing Facility Consolidated Billing Enforcement |
3156 | 2004-03-19 | Revision to Required Messages in Change Request (CR) 2944, Implementation of Skilled Nursing Facility (SNF) Consolidated Billing Edit for Therapy Codes Considered Separately Payable Physician Services |
CR 3196 | 04/30/2004 | Change to the Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Ambulance Transports to or from a Diagnostic or Therapeutic Site Other than a Physician's Office or Hospital |
3212 | 2004-05-28 | Change to the Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Drugs and Electrocardiogram (EKG) Testing Provided During an Ambulance Transport |
3248 | 2004-05-21 | Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an 'Arrangement' With an Outside Entity |
3295 | 2004-05-28 | Skilled Nursing Facility Consolidated Billing L Codes - DMERCs and FIs |
3277 | 2004-06-10 | Update to the Common Working File Edits for Skilled Nursing Facility (SNF) Consolidated Billing (CB) to Expand the Bypass for Pharmacy Services. |
3348 | 2004-07-09 | October Quarterly Update to 2004 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing Enforcement. |
CR 3427 | 11/18/2004 | Change to the Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Ambulance Transports to or from a Diagnostic or Therapeutic Site |
3535 | 2004-10-22 | 2005 Annual Update for Skilled Nursing Facility (SNF) Consolidated Billing for the Common Working File (CWF) and Medicare Carriers |
CR 3542 | 11/23/2004 | 2005 Annual Update of HCPCS Codes for SNF PPS Consolidated Billing |
CR 3575 | 2004-12-10 | Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases - Skilled Nursing Facility (SNF) Consolidated Billing (CB) as it Applies to RHC and FQHC Service |
CR 3592 | 2004-12-23 | Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an ""Arrangement"" with an Outside Entity |
3613 | 2004-12-30 | Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement |
CR 3683 | 01/24/2005 | April Quarterly Update to 2005 Annual Update of HCPCS Codes Used for SNF Consolidated Billing Enforcement |
CR 3568 | 11/26/2004 | Liability Days on Skilled Nursing Facility (SNF) and Swing Bed Facility Inpatient Bills |
3308 | 2004-07-23 | Fiscal Intermediary Shared System (FISS) Changes to Allow for Provider Liability Days on Skilled Nursing Facility (SNF) and Swing Bed Facility Inpatient Bills |
A-02-060 | 07/10/2002 | Revision to Billing for Swing Bed Services Under SNF PPS |
A-02-028 | 04/16/2002 | Upcoming Train-the-Trainer Session for Hospital Swing Bed Facility PPS |
A-02-016 | 02/15/2002 | Conversion of Hospital Swing Bed Facilities to the SNF PPS |
A-01-09 | 01/16/2001 | Exemption of Critical Access Hospital Swing Bed from SNF PPS |
7182 | 12/17/2010 | Additions To and Revisions of Existing G-Codes for the Reporting of Skilled Nursing Services and Skilled Therapy Services in the Home Health or Hospice Setting |
5583 | 05/30/2007 | Clarification of Skilled Nursing Facility (SNF) No Pay Billing |
7047 | 01/06/2011 | Analysis CR - The Inclusion of Veterans Administration (VA) Skilled Nursing Facility (SNF) claims to the VA Medicare Remittance Advice (eMRA) Process |
5636 | 06/15/07 | October Quarterly Update to 2007 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement |
5597 | 06/29/2007 | IOM Pub 100-09, Chapters 3, Provider Inquiries and Chapter 6 - Provider Customer Service Program Updates |
5532 | 06/29/07 | Coverage Requirements for Therapy Services Provided in a Skilled Nursing Facility |
5653 | 07/13/07 | Clarification of Skilled Nursing Facility (SNF) Billing Requirements for Beneficiaries Enrolled in Medicare Advantage (MA) Plans |
5734 | 10/19/07 | National Uniform Billing Committee (NUBC) Update on Revenue Codes and Corrected Skilled Nursing Facility (SNF) Spell of Illness Chart |
7182 | 02/08/2011 | Additions To and Revisions of Existing G-Codes for the Reporting of Skilled Nursing Services and Skilled Therapy Services in the Home Health or Hospice Setting |
5840 | 12/14/2007 | Manual Updates to Chapter 6, Skilled Nursing Facility (SNF) Inpatient Part A Billing, for No Payment and Medicare Advantage (MA) Claims |
5418 | 03/30/2007 | Medical Review of Skilled Nursing Facility (SNF) Claims Using the MDS QC System Software |
5991 | 05/16/2008 | Medical and Other Health Services Furnished to SNF Patients |
6030 | 05/30/2008 | Charges to Hold A Bed During SNF Absence |
6568 | 08/28/2009 | Medicare Part A Skilled Nursing Facility Prospective Payment System Pricer Update FY 2010 |
6619 | 09/04/2009 | 2010 Annual Update of Healthcare Common Procedure Code System Codes for Skilled Nursing Facility Consolidated Billing Update |
6486 | 09/14/2009 | Skilled Nursing Facility Provider Enrollment Revalidation |
7002 | 06/18/2010 | October Quarterly Update to 2010 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement |
7019 | 07/30/2010 | Revised Instructions for Reporting Assessment Dates under the Inpatient Rehabilitation Facility (IRF), Skilled Nursing Facility (SNF), and Swing Bed (SB) Prospective Payment Systems (PPS) |
7047 | 07/30/2010 | Analysis Change Request - The Inclusion of Veterans Administration (VA) Skilled Nursing Facility (SNF) Claims to the VA Medicare Remittance Advice (eMRA) Process |
7034 | 08/06/2010 | Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2011 |
7004 | 08/13/2010 | 5010 Implementation--Processing Additional International Classification of Diseases, 9th Revision-Clinical Modification (ICD-9-CM) Diagnosis and Procedure Codes in Pricer, Grouper, and the Medicare Code Editor (MCE) |
7159 | 09/10/2010 | 2011 Annual Update of Healthcare Common Procedure Code System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update |
All 2008 Transmittals | 01/01/2008 | All Skilled Nursing Facility PPS related Transmittals for 2008 |
All 2009 Transmittals | 01/01/2009 | All Skilled Nursing Facility PPS related Transmittals for 2009 |
6486 | 08/21/2009 | Skilled Nursing Facility Provider Enrollment Revalidation |
Transmittal 1450 | 02/15/2008 | Update to the Common Working File CWF to Allow the Posting of Skilled Nursing Facility SNF and Swing Bed SB Claims to the Beneficiarys Spell of Illness When Qualifying Stay Criteria are Not Met |
Transmittal 1425 | 02/01/2008 | Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2008 for 2 Core Based Statistical Areas (CBSAs) with New Wage Index Values --Correction |
7345 | 03/25/2011 | July Quarterly Update to 2011 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement |
7339 | 03/25/2011 | Manual Clarifications for Skilled Nursing Facility (SNF) Part A Billing |
7164 | 10/28/2010 | Revision to Common Working File (CWF) Edit 729K to Deny Claims for Durable Medical Equipment (DME) Furnished to Beneficiaries in a Non-Part A Skilled Nursing Facility (SNF) Stay |
7224 | 11/19/2010 | Update to Medicare Deductible, Coinsurance and Premium Rates for 2011 |
5624 | 07/17/07 | Additional Common Working File (CWF) Editing for Skilled Nursing Facility (SNF) Consolidated Billing (CB) |
5688 | 07/20/07 | Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update for FY 2008 |
5597 | 07/13/07 | IOM Pub. 100-09, Chapters 3- Provider Inquiries and Chapter6- Provider Customer Service Program Updates |
6116 | 07/18/2008 | Revision of the Requirements for Denial of Payment for New Admissions (DPNA) for Skilled Nursing Facility (SNF) Billing |
6128 | 07/18/2008 | Revision to Skilled Nursing Facility (SNF) Common Working File (CWF) Editing |
7338 | 05/27/2011 | Revisions to Ch. 10, Home Health Agency Billing |
7444 | 06/03/2011 | October Quarterly Update to 2011 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement |
7625 | 10/27/2011 | Revisions to Common Working File (CWF) Edits that Deny Claims for Prosthetics, Orthotics, and Supplies (POS) Furnished to Beneficiaries in a Skilled Nursing Facility (SNF) Stay |
7522 | 08/26/2011 | Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2012 |
7552 | 08/26/2011 | 2012 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update |
7567 | 11/18/2011 | Update to Medicare Deductible, Coinsurance and Premium Rates for 2012 |
7567 | 12/16/2011 | Update to Medicare Deductible, Coinsurance and Premium Rates for 2012 |
7701 | 01/13/2012 | Allowing Physician Assistants to Perform Skilled Nursing Facility (SNF) Level of Care Certifications and Recertification's |
7701 | 01/13/2012 | Allowing Physician Assistants to Perform Skilled Nursing Facility (SNF) Level of Care Certifications and Recertification's |
7503 | 08/01/2011 | Analysis CR - The Inclusion of Veterans Administration (VA) Skilled Nursing Facility (SNF) claims to the VA Medicare Remittance Advice (eMRA) Process |
7661 | 01/27/2012 | Analysis of Improper Overpayments to Design Edits to Correct these Overpayments in CWF, MCS, and FISS |
7661 | 02/29/2012 | Analysis of Improper Overpayments to Design Edits to Correct these Overpayments in CWF, MCS, and FISS |
7701 | 2012-04-20 | Allowing Physician Assistants to Perform Skilled Nursing Facility (SNF) Level of Care Certifications and Recertifications |
7760 | 2012-04-27 | Systematic Validation of Payment Group Codes for Prospective Payment Systems(PPS) Based on Patient Assessments |
7760 | 2012-07-18 | Systematic Validation of Payment Group Codes for Prospective Payment Systems (PPS) Based on Patient Asssessment. |
7907 | 2012-08-02 | Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2013 |
- Page last Modified: 02/28/2012 2:20 PM
- Help with File Formats and Plug-Ins