Name of Manual - Blue Cross and Blue Shield of Minnesota

SNF Billing for Blue
Plus Government
Program Products
(continued)
Billing for Swing Beds
Coding Policies and Guidelines (Hospital / SNF Care)
The appropriate type of bill for swing bed services is 028X.
Use the correct Blue Cross provider number or NPI
specifically for billing Swing Beds (xxExx.)
Common send back issues
Loop and Segment
on 837I
Description of Data Content
Loop 2300, CLM05 Appropriate type of bill entered. TOB
should be four digits.
Loop 2010CA,
DMG02
Date of birth must be in MMDDCCYY
format.
Loop 2300, DTP03 There must be an admit date.
The admit date cannot be prior to 010102.
(Jan. 1, 2002) (If it is, change to 010102.)
Loop 2400, SV201 Use Revenue Code 0022 to report RUG
Code and Assessment Date. Use Revenue
Code 0230 for ISD days.
Loop 2400, SV202 Only use Rates on room and board lines.
RUG codes must be five (5) characters.
(Include assessment type indicator.)
Can only be submitted with five (5)
character HCPCS and up to four (4)
modifiers.
Loop 2400, DTP03 Service date must fall within statement
covers period.
Loop 2400, SV205 Do not use decimals to report units. (Round
up to the nearest whole number.)
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (06/20/12)
11-7