What are SNF Swing Bed Days?

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To some people, these abbreviations make no sense, but to most who send text messages they are easy to understand (“laughing out loud,” “be right back,” and “talk to you later”).


To someone who works in health care, these abbreviations are the ones that make sense, but unfortunately knowing what the abbreviation stands for doesn’t always help you understand what it truly means (“average length of stay,” “skilled nursing facility,” and “Magnetic resonance imaging”).

For the Medicare cost report, skilled nursing facility (SNF)-type services are routine services furnished by a swing-bed hospital that would constitute extended care services if furnished by an SNF. Effective October 1, 1990, only Medicare covered services are included in the definition of SNF-type services.

Services in swing bed areas provided to Medicaid and other non-Medicare payers are considered “nursing facility” (NF) days and are reported and paid differently than SNF days

Tip #16:

“Skilled” Swing Bed days are the only days Medicare considers “SNF” for the Cost Report (Pub. 15-2, §Section 4005.1).\

Further guidance can be found on the Centers for Medicare and Medicaid Services (CMS) website:

Provider Reimbursement Manual 15-2, Chapter 40

Questions? Please contact Marie White at 612.253.6546 or mewhite@eidebailly.com.

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