Know the rule for billing inpatient-only procedures
Health Care Auditing Strategies, February 1, 2009
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Although the rule for inpatient-only procedures in an outpatient setting may initially seem rather basic, there are exceptions that make the rule a bit more complex. In simple terms, the rule for billing inpatient-only procedures states that CMS will not pay for procedures designated as inpatient-only when providers perform them in an outpatient setting.
This is an excerpt from a member only article. To read the article in its entirety, please login.
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