Inpatient Psychiatric Facilities: Return to Provider Claims with Point of Origin for Admission or Visit Code D & Charges for ED Services

Related CR Release Date: April 17, 2025
MLN Matters Number: MM14026
Effective Date: October 1, 2025
Related Change Request (CR) Number: CR 14026
Implementation Date: October 6, 2025
Related CR Transmittal Number: R13173OTN

CR 14026 tells you about:

  • Emergency Department (ED) adjustment policy
  • How to bill for a patient’s transfer from a hospital or critical access hospital (CAH) to the same facility’s psychiatric unit
  • New Fiscal Intermediary Shared System (FISS) edit to prevent underpayments
  • How to correct a returned claim

Make sure your billing staff knows about these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)14026.

Last Updated Apr 24 , 2025