Special Billing Situations for Skilled Nursing Facilities and Swing Beds

This is a recording of a webinar held on May 13, 2026. This course applies to those billing on a UB-04 claim form or 837I electronic equivalent. Certain skilled nursing and swing bed situations have unique billing requirements. This training includes: Benefits exhaust No-pay billing Information-only claims Interrupted stays Take the survey for this course: https://cmsmacfedramp.gov1.qualtrics.... Resources Medicare Benefit Policy Manual, Chapter 8, Coverage of Extended Care (SNF) Service Under Hospital Insurance: https://www.cms.gov/regulations-and-g... Medicare Claims Processing Manual, Chapter 6, SNF Inpatient Part A Billing and SNF Consolidated Billing: https://www.cms.gov/regulations-and-g... CMS Skilled Nursing Facility Center: https://www.cms.gov/medicare/enrollme... Skilled Nursing Facility Billing Reference: https://www.cms.gov/Outreach-and-Educ... Skilled Nursing Facility 3-Day Rule Billing Fact Sheet: https://www.cms.gov/files/document/sk... Chapters 00:00 – Introduction 01:09 – Objective & agenda 01:51 – Definitions and coverage review 09:23 – Benefits exhaust situations 22:20 – No-pay billing situations 25:37 – Information-only situations 28:36 – Leave of absence 31:09 – Same day transfer 32:36 – Demand bill 34:48 – Learn more 40:48 – Questions & answers 46:04 – Closing comments