Traditional MedicareAdministrativeMedium impact
Senior Services News Vol. 7, No. 02
New Jersey Medicaid·NJ · Geriatrics·Prior Authorization
We identified it
Jun 20, 2026
Summary
This policy update addresses crossover claims processing using Medicare Resource Utilization Group (RUG) rates for senior services. The change likely affects how Medicare and secondary insurance claims are processed together for skilled nursing facility services.
Action Required
Billing team should review the complete policy document at the provided URL to understand specific changes to crossover claims processing procedures for RUG rate billing. Update billing workflows for Medicare crossover claims involving skilled nursing facility services as outlined in the full policy.