SNF 3-Day Rule: CMS Guidance on Billing Correctly
January 21, 2021
Policy Snapshot
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 § 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, sections 70.3(C), 90, 100