US · guidance
CMS Pub. 100-04, ch. 6, § 60
Billing Procedures for a Composite SNF or a Change in Provider
Number
(Rev. 767, Issued: 12-02-05, Effective: N/A, Implementation: N/A)
SNF-520, A3-3600.5
A hospital with a sub-provider that meets the criteria for a composite distinct part SNF
defined in 42 CFR 483.5 is required to use the single SNF number assigned for all claims,
beginning with the date the provider number is effective.
Where there is a change of ownership (CHOW), and the new owner refuses assignment
of the existing provider agreement, the old owner submits all claims for periods prior to
the CHOW using the old provider number. The new owner submits claims for services
rendered after the date of the CHOW using the new provider number.
Also with respect to CHOWs, the SNF submits a bill with the old provider number for
the period before the change and another with the new provider number for the period
after the change. The date of discharge on the first bill and the date of admission on the
second bill are the same, which is the effective date of the new provider number. All
subsequent billings are submitted under the new provider number.
History
(Rev. 767, Issued: 12-02-05, Effective: N/A, Implementation: N/A)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
59f6be9814987ec8a1f0becb90420647bb791ca7334b1797c5463ede656ba8fd
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