Medicare Claims Processing Manual (Pub. 100-04), Ch. 19 § 100.2
A/B MAC (A) - Medicare Part B Services Included in the All
100.2 - A/B MAC (A) - Medicare Part B Services Included in the All
Inclusive Rate (AIR)
(Rev. 1040, Issued: 08-25-06, Effective: 09-11-06, Implementation: 09-11-06)
Unless otherwise specified in this chapter, payment to IHS providers is made based on
the AIR. To understand how payment is made for IHS services, it is recommended that
Chapter 19 be reviewed in its entirety. Services provided in IHS providers that are
considered part of the AIR include:
• Diagnostic tests (see §1861(s)(3)), covered drugs and biologicals furnished
incident to a physician service (see §1861(s)(2)(A) and (b)) and DSMT services
(see 1861(s)(2)(S)).
• Services furnished by a RD or nutrition professional (meeting certain
requirements) as defined in §105 of BIPA for MNT services for beneficiaries with
diabetes or renal disease. (These health care professionals must reassign their
benefits to the hospital or hospital-based clinic.)
• The technical component of screening mammography services, and other
radiological services.
• If the IHS provider purchases laboratory services from another entity, that entity
bills the hospital. The hospital bills Medicare and is paid based on the AIR.
NOTE: This is not an all-inclusive list of services paid under the AIR.