Medicare Benefit Policy Manual (Pub. 100-02), Ch. 6 § 10.3
Hospital Inpatient Services Paid Only Under Part B
10.3 - Hospital Inpatient Services Paid Only Under Part B
(Rev. 182, Issued: 03-21-14, Effective: 10-01-13, Implementation: 04-21-14)
The services listed in Chapter 15, §250 of this manual, “Medical and Other Health
Services Furnished to Inpatients of Hospitals and Skilled Nursing Facilities,” when
provided to a hospital inpatient, may be covered under Part B, even though the patient
has Part A coverage for the hospital stay. This is because these services are covered
under Part B and are not covered under Part A.
In all hospitals, all other services provided to a hospital inpatient must be treated as an
inpatient hospital service to be paid for under Part A, if Part A coverage is available and
the beneficiary is entitled to Part A. This is because every hospital must provide directly
or arrange for any nonphysician service rendered to its inpatients, and a hospital can be
paid under Part B for a service provided in this manner only if Part A coverage does not
exist.
However, note that in order to have any Medicare coverage at all (Part A or Part B), any
nonphysician service rendered to a hospital inpatient must be provided directly or
arranged for by the hospital.