12.07.2015 Views

CMS IPPS 2014 Final Rule

CMS IPPS 2014 Final Rule

CMS IPPS 2014 Final Rule

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38Table of Contents*XI. Payment Policies Related to Patient Status 50906A. BackgroundB. Payment of Part B Hospital Inpatient Services 509081. Payable Medicare Part B Inpatient Servicesa. Payment Methodologyb. Other Revisions Resulting from Our Review of the Regulations2. Billing for Part B Outpatient Services in the 3-Day Payment Window3. Applicability: Hospital Self-Audit4. Applicability: Types of Hospitals5. Beneficiary Liability under Section 1879 of the Act 509186. Applicable Beneficiary Liability: Hospital Services 509207. Applicable Beneficiary Liability: Skilled Nursing Facility Services 509218. Time Limits for Filing Claims 509229. Appeal Procedures 5092710. Coordination of Benefits with Supplemental Insurers 5093011. Public Comments on Other Issues 50931a. Application to Disproportionate Share Hospital (DSH) Payments, IndirectMedical Education (IME) and Graduate Medical Education (GME) Payments, and Other<strong>IPPS</strong> Adjustmentsb. Application to Beneficiary Utilization Days under Medicare Part Ac. Applicability to the Medicare Advantage (MA) Program

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