Helpful CMS Links and Information

Here are the resources we regularly use.  We keep these up-to-date so let us know if we need an update!

Quality and MDS Resources

RAI User Manual

PDF file last updated October 2019

Update HCPCS Codes and Exclusions for SNF Consolidated Billing (CB)

Published May 11, 2021

MLN article- October Quarterly Update to 2021 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated
Billing (CB) Enforcement

New: PDPM ICD-10 Mapping

Effective Date Jan 1, 2021

Scroll to bottom of the page and click on FY 2021 PDPM ICD-10 Mappings (ZIP) (effective 1/1/2021)

Medicare Benefit Policy Manual

PDF file last updated October 2019

ICD-10-CM for 2021 website

Website with multiple downloads

Value-Based Purchasing Website

Website with multiple resources and per year Rules

COVID-19 / Coronavirus Resources

Targeted COVID-19 Training for Nursing Homes

Free Trainings include

Module 1: Hand Hygiene and PPE

Module 2: Screening and Surveillance

Module 3: Cleaning the Nursing Home

Module 4: Cohorting

Module 5: Caring for Residents with Dementia in a Pandemic

COVID-19 FAQs on Medicare Fee-for-Service (FFS) Billing

Updated Feb 19,2021

SNF waiver and billing information p.114

FAQ ICD-10 coding for Covid-19

American Hospital Association

Revised August 5, 2020