Your skilled nursing facility (SNF) is required to use consolidated billing when submitting claims for post-acute inpatient SNF admissions for UnitedHealthcare Medicare Advantage members.
With this requirement, you must bill for the entire package of care that residents receive during:
What is consolidated billing?
Consolidated billing is an all-encompassing billing methodology similar to hospital bundled billing. Learn more at the CMS Consolidated Billing resource page.
When is consolidated billing required?
Consolidated billing is required for Medicare Advantage members who are receiving services in a:
Services that can be billed separately
There are a limited number of services that are excluded from the consolidated billing requirement.
For Medicare Advantage members in a covered Part A stay, these services can be billed separately:
Questions?
Please contact your Provider Advocate.