Comment letter to CMS Acting Administer Tavenner on the Medicare Program; Part B Inpatient Billing in Hospitals; Proposed Rule (CMS-1455-P)

The College commends CMS for the proposal to allow inpatient facilities to rebill under Medicare Part B under circumstances in which a Part A inpatient claim for a hospital admission is denied by a Medicare review contractor because the inpatient setting was not determined to be reasonable and necessary --- although the actual services provided were determined to be reasonable and necessary.

Neil Kirschner

Part A billing
Inpatient admission denials
Part B inpatient billing
observation status

Thu, 05/23/2013 - 3:20 PM EDT

Thu, 05/23/2013 - 3:20 PM EDT

2

part_b_inpatient_billing_in_hospitals_2013.pdf

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2013