SNF 3-Day Rule Billing

An Office of Inspector General (OIG) report found that Medicare improperly paid for Skilled Nursing Facility (SNF) services when patients didn’t meet the Medicare 3-Day inpatient hospital stay requirement. Review the Skilled Nursing Facility 3-Day Rule Billing fact sheet to help you bill correctly. Additional resources:

• SNF Billing Reference Medicare Learning Network Booklet
• Title 42 of the Code of Federal Regulations (CFR) § 411.400
• Medicare Benefit Policy Manual, Chapter 8
• Medicare Claims Billing Manual, Chapter 6
• Medicare Claims Billing Manual, Chapter 30
• Medicare Financial Management Manual, Chapter 3, 70.3(C), 90, 100