User Enhancement Change Request (UECR): Fiscal Intermediary Shared System (FISS) - Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) Reason Code 31849
The purpose of this UECR is to modify the SNF PDPM editing in FISS to be more efficient and prevent incorrect payments. Reason code 31849 will be modified to reduce unnecessary claim suspension and unneeded history retrieval requests. To reduce incorrect PDPM prior days calculation, a new reason code will be created to assign when the incoming claim should be billed as a new admission.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: October 20, 2022
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