Common Contracts

resident’s name) is a Medicare beneficiary who is a resident of

August 8th, 2005

• Filed
  August 8th, 2005

(name of SNF). Since Medicare Part A is covering this resident’s SNF stay, most of the services that he or she receives are subject to the consolidated billing requirement. Under this requirement, the SNF must include these services on its Part A bill for the resident’s Medicare-covered stay, and they are included within the comprehensive per diem that Part A pays the SNF for the covered stay. This means that when an outside Supplier furnishes such a service to the SNF’s resident, that entity must obtain payment for the service from the SNF, rather than from Medicare