Editing of Hospital and Skilled Nursing Facility Part B Inpatient Services – Full Replacement of Change Request 3366
Guidance for changes to Medicare payments when patients are not entitled to, or have exhausted Part A benefits. Discussion about edit to ensure payment is made on 12X and 22X TOBs by standard Medicare systems only for the services defined in Section 10, Chapter 6 of the Medicare Benefit Policy Manual as an inpatient Part B service.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: October 29, 2004
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