Medicare Benefit Policy Manual (Pub. 100-02), Ch. 4 § 50

Inpatient Psychiatric Hospital Services - Lifetime Limitation

Last amended: 2003Year: 2003Length: 110 wordsOfficial source
50 - Inpatient Psychiatric Hospital Services - Lifetime Limitation (Rev. 1, 10-01-03) A3-3105, HO-218 Payment may not be made for more than a total of 190 days of inpatient psychiatric hospital services during the patient's lifetime. The limitation applies only to services furnished in a psychiatric hospital. The period spent in a psychiatric hospital prior to entitlement does not count against the patient's lifetime limitation, even though pre- entitlement days may have been counted against the 150 days of eligibility in the first benefit period. The CWF keeps track of days paid for inpatient psychiatric services and informs the A/B MAC (A) on claims where the 190-day limit is reached.
Medicare Benefit Policy Manual (Pub. 100-02), Ch. 4 § 50: Inpatient Psychiatric Hospital Services - Lifetime Limitation | Justis AI