Change to the Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Evaluation and Management (E&M) Services Billed to Fiscal Intermediaries (FIs) by Hospitals
These instructions revise the claims processing
procedures to follow when a hospital bills for "facility charges" (overhead expenses) in
connection with clinic services of hospital-based physicians. Existing SNF CB edits in
the CWF shall be changed to allow the separate payment of E&M service HCPCS codes
99201-99245 which represents the "facility charge" for the associated hospital's overhead
expense.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: November 01, 2005
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