US · guidance
CMS Pub. 100-02, ch. 8, § 20.3.1.5
Impact of Consolidated Billing Requirements
The SNF may not charge the beneficiary or family members for any services that, in the
absence of a payment sanction, would have been covered under the SNF PPS.
However, the beneficiary is entitled to reimbursement for those services excluded from
the SNF PPS rate. Services excluded from consolidated billing such as outpatient
hospital emergency care and related ambulance service should be billed by the
provider/supplier actually furnishing services, and not by the SNF.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
9aa96d879b595c833de5ae8491f2642e32996e4dfc7b854657ac742c3bf75517
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