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Policy: BlueCross Blue Shield of Rhode Island covers interim billing for payment of services provided by an acute rehabilitation/skilled nursing facility, hospice or home health agency. Interim billing is covered for acute care hospitals only if the hospital is covered at a per diem rate.
You will submit a bill when a beneficiary ceases to need skilled care in a SNF or swingbed. (occurrence code 22), or a beneficiary ceases to need hospital level care (occurrence code 22). Each hospital PPS interim bill m ust include all diagnoses, pro cedures and services f rom adm issio n to. the through date.