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How do I bill for SNF services when the beneficiary is out of the facility at midnight on a leave of absence (LOA)?

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How do I bill for SNF services when the beneficiary is out of the facility at midnight on a leave of absence (LOA)?

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A leave of absence occurs when the beneficiary is absent, but not discharged, from the SNF, at midnight. Leave of absence days are shown on the bill with revenue code 018X and LOA days as units. However, charges for leave of absence days are shown as zero on the claim, and the SNF cannot bill the beneficiary for them.

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