MM13240 - Patient Driven Payment Model Claim Edits
This revised Article comprises Subregulatory Guidance to Make sure your billing staff knows about edit updates for: SNFs billing on Type of Bill (TOB) 21X and Swing Bed TOB18X and hospitals billing during an interrupted stay. MLN Matters (MM) Articles are based on information contained within Change Requests (CRs). In this case, this article is based on content within CR13240 that is posted on the CMS website at https://edit.cms.gov/files/document/r12146otn.pdf
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: July 21, 2023
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.