WebDec 4, 2024 · However, if the subscriber is an inpatient of a hospital, skilled nursing facility (SNF), or rehabilitation facility on the day that coverage terminates, benefits may be provided until the maximum amount of benefits has been paid, or until the inpatient stay ends, whichever occurs first. ... Highmark retains the right to review and update its ... WebSKILLED NURSING FACILITY CARE* You must meet Medicare’s requirements, including having been in a hospital for at least 3 days and entered a Medicare-approved facility …
Facility Billing Reference Manual - Highmark Blue Shield
WebHighmark requires authorization of certain services, procedures, and/or Durable Medical Equipment, Prosthetics, Orthotics, & Supplies ( DMEPOS) prior to performing the procedure or service. The authorization is typically obtained by the ordering provider. Some authorization requirements vary by member contract. WebNov 7, 2024 · Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. how much should an 12 yr weight
Skilled Nursing Facility (SNF) Billing Reference - HHS.gov
WebHighmark Blue Shield. A complete list of all locator values can be obtained through the NUBC (National Uniform Billing Committee) website at www.nubc.org. DATA ELEMENT … WebRegulated Facilities. Lists of facilities regulated by the Nursing Home Licensure and Certification Section are available in two formats. An easy to read PDF lists the facilities. … WebNov 10, 2024 · "Highmark Health is committed to making healthcare simpler, smarter and more seamless, which includes enabling individuals to heal in a place that is more familiar and comfortable—their home," said Monique Reese, DNP, ARNP, FNP, senior vice president, home and community care, Highmark Health. how much should an 11 week old kitten weigh