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CMS-1403-FC
Skilled Nursing Facilities
Section 149 of the MIPPA added skilled nursing
facilities (SNFs), as defined in section 1819(a) of the
Medicare statute, to the list of originating sites for
Medicare telehealth services. For residents in a covered
Part A SNF stay, the SNF receives a bundled per diem
payment under the SNF PPS for all covered skilled nursing
facility services as defined under section 1888(e)(2)(A) of
the statute. The conforming amendment in section 149(b) of
the MIPPA amended section 1888(e)(2)(A)(ii) of the Act to
exclude telehealth services furnished under section
1834(m)(4)(C)(ii)(VII) of the Medicare statute from the
definition of “covered skilled nursing facility services”
that are paid under the SNF PPS. Therefore, when a SNF
serves as the originating site for Medicare telehealth
services, the SNF can receive separate payment for a
telehealth originating site facility fee even in those
instances where it also receives a bundled per diem payment
under the SNF PPS for a resident’s covered Part A stay.
Moreover, not only would the originating site facility fee
be separately billable outside of the SNF PPS, but so would
those professional services (furnished at the distant site)
that meet the criteria specified in section 1834(m)(2)(A)
of the Act for payment as Medicare telehealth services. As
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