Live Breaking News & Updates on Benefit Policy Manual

[6]
“Medicare Does Not Pay Acute-Care Hospitals for Outpatient Services They Provide to Beneficiaries in a Covered Part A Inpatient Stay at Other Facilities (PDF)”
[7]
MLN Matters article.
1 “Non-Physician Outpatient Services Provided Before or During Inpatient Stays: Bill Correctly,” Fast Facts, Medicare Learning Network, Centers for Medicare & Medicaid Services, December 21, 2020, http://go.cms.gov/3ivCwRe.
2 Amy J. Frontz, “Medicare Made $11.7 Million in Overpayments for Nonphysician Outpatient Services Provided Shortly Before or During Inpatient Stays,” Office of Inspector General, U.S. Department of Health & Human Services, May 2020, https://go.usa.gov/xvvkt.
3 “FAQs on the 3-Day Payment Window for Services Provided to Outpatients Who Later Are Admitted as Inpatients,” ....

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