Medicare Claims Processing Manual (Pub. 100-04), Ch. 11 § 60.1

Instructions for the Contractual Arrangement

Last amended: 2003Year: 2003Length: 136 wordsOfficial source
60.1 - Instructions for the Contractual Arrangement (Rev. 1, 10-01-03) A-02-102 A contractual agreement between both parties must be on file and available for review by the state survey agency responsible for conducting surveys on behalf of CMS to assess compliance with the relevant conditions of participation for the provider contracting for the hospice services. Where a PACE organization contracts with a hospice organization, the contract, which is reviewed by CMS, must meet the requirements specified in 42 CFR 460.70. Go to http://www.gpo.gov/fdsys/browse/collectionCfr.action; select the applicable year, choose title42, and select Chapter IV - Centers for Medicare & Medicaid Services and then locate 460.70. The agreement must specify each of the services to be provided, the credentials required for any of the professionals providing the services, the billing method and payment amounts, and any required documentation.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 11 § 60.1: Instructions for the Contractual Arrangement | Justis AI