Billing for Hospital Part B Inpatient Services

Related CR Release Date: September 8, 2022
Related CR Transmittal Number: R11589CP
Related Change Request (CR) Number: 12816
Effective Date: July 1, 2022
Implementation Date: October 11, 2022

CR 12816 tells you that Medicare pays for hospital (including CAH) inpatient Part B services in the circumstances provided in Pub. 100-02, Medicare Benefit Policy Manual, Chapter 6, § 10 (“Medical and Other Health Services Furnished to Inpatients of Participating Hospitals”). Hospitals must bill Part B inpatient services on a 12x Type of Bill. This Part B inpatient claim is subject to the statutory time limit for filing Part B claims described in chapter 1, §70 of Medicare Claims Processing Manual.

Make sure your billing staff knows about these changes.

View the complete CMS Change Request (CR)12816.

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