Blog Archives

Midnight Rule for Medicare Census

Midnight Rule for Medicare Census PDF download: Medicare Claims Processing Manual – CMS 40 – Billing Coverage and Utilization Rules for PPS and Non-PPS Hospitals … Having a patient population that is at least 50 percent of the hospital's total … A. – Outpatient Services Followed by Admission Before Midnight of the … Year 2020, […]

Medicare Two Midnights Rule

Medicare Two Midnights Rule PDF download: January 2020 Update of the Hospital Outpatient Prospective … – CMS 23 Jan 2020 … Medicare is implementing in the January 2020 Outpatient … and providers regarding compliance with the 2-midnight rule, but claims identified … Medicare Benefit Policy Manual – CMS 20.5.2 – Coverage of Outpatient Therapeutic Services Incident […]

Medicare Transfer Rule Manual

Medicare Transfer Rule Manual PDF download: CMS Manual System 7 Oct 2019 … the link on the left side of the screen titled, “FY 2020 IPPS Final Rule Home … post-acute care transfer policy and the special payment policy. Medicare Claims Processing Manual – CMS Medicare Benefit Policy Manual, Chapter 3, and these special instructions. […]

Medicare Transfer Rule 2014

Medicare Transfer Rule 2014 PDF download: Medicare Benefit Policy Manual – CMS 10.2 – Medicare SNF Coverage Guidelines Under PPS. 10.3 – Hospital Providers of Extended Care Services. 20 – Prior Hospitalization and Transfer … Fiscal Year (FY) 2020 Inpatient Prospective Payment System … – CMS 8 Oct 2019 … Medicare payment of inpatient hospital services. […]

Medicare Transfer Rule 2013

Medicare Transfer Rule 2013 PDF download: Fiscal Year (FY) 2020 Inpatient Prospective Payment System … – CMS 8 Oct 2019 … Medicare payment of inpatient hospital services. … reads, “FY 2020 IPPS Final Rule Home Page,” or the link titled, … from the list of MS-DRGs that are subject to the post-acute care transfer policy […]

Medicare Timely Filing Rule

Medicare Timely Filing Rule PDF download: Announcement of Calendar Year (CY) 2020 Medicare … – CMS 1 Apr 2019 … CMS-HCC Risk Adjustment Model: For 2020 CMS will use the … Comment: Two commenters expressed appreciation for the timely and detailed … with the policy adopted in the most recent FFS payment rules. … Beneficiary […]

Medicare Three-Day Window Rule

Medicare Three-Day Window Rule PDF download: Medicare Claims Processing Manual – CMS 30 – Medicare Rural Hospital Flexibility Program and Critical Access Hospitals … 40 – Billing Coverage and Utilization Rules for PPS and Non-PPS Hospitals … payment window, must not be bundled on the claim for the beneficiary's … Year 2020, the IPF PPS […]

Medicare Three-Day Stay Rule

Medicare Three-Day Stay Rule PDF download: Skilled Nursing Facility 3-Day Rule Billing – CMS a medically necessary 3-day-consecutive inpatient hospital stay and does not include the day of … Medicare beneficiaries meet the 3-day rule by staying 3 consecutive days in one or more hospitals … Three-day Hospital Stay for SNF. Medicare Claims Processing Manual […]

Medicare Three-Day Rule

Medicare Three-Day Rule PDF download: Skilled Nursing Facility 3-Day Rule Billing – CMS Medicare beneficiaries meet the 3-day rule by staying 3 consecutive days in one or more hospitals … the Required. Three-day Hospital Stay for SNF. Admissions. Medicare Claims Processing Manual – CMS 40 – Billing Coverage and Utilization Rules for PPS and Non-PPS […]

Medicare Three-Day Rule 2014

Medicare Three-Day Rule 2014 PDF download: Skilled Nursing Facility 3-Day Rule Billing – CMS before the patient meets the 3-day rule, and the SNF admits the patient for extended care services. … Medicare beneficiaries meet the 3-day rule by staying 3 consecutive days in one or more hospitals … Three-day Hospital Stay for SNF. Skilled […]