Patient Driven Payment Model Claim Edits

Related CR Release Date: July 21, 2023
Effective Date: October 1, 2019
Implementation Date: January 4, 2024
MLN Matters Number: MM13240
Related Change Request (CR) Number: CR 13240
Related CR Transmittal Number: R12146OTN

CR 13240 tells you about:

  • SNFs billing on Type of Bill (TOB) 21X and Swing Bed TOB18X
  • Hospitals billing during an interrupted stay

Make sure your billings staff knows about these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)13240.

Last Updated Aug 03 , 2023