Health Information Management

Pay-per-view: CMS changes Part B inpatient billing in hospitals

APCs Insider, May 31, 2013

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Successful appeals can actually lead to CMS policy changes. Facilities have been successfully appealing to receive Part B payments after a Medicare review contractor denied a Part A stay as not medically necessary. As a result, CMS is changing its policy on rebilling for Part B services.

CMS issued a ruling and a proposed rule March 13 outlining its new policy for Part B payments after Part A payment is denied as not reasonable and necessary.
 
Continue reading CMS changes Part B inpatient billing in hospitals on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the May issue.



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