Medicare Claims Processing Manual (Pub. 100-04), Ch. 19 § 100.8.1
A/B MAC (A) - CAH Swing-bed - Medicare Part A - Claims
100.8.1 - A/B MAC (A) - CAH Swing-bed - Medicare Part A - Claims
Processing
(Rev. 1040, Issued: 08-25-06, Effective: 09-11-06, Implementation: 09-11-06)
Services are itemized and billed with the appropriate revenue code that describes the
service on TOB 18X (hospital swing-bed). Technical criteria for swing-bed admissions
apply (i.e., 3 day qualifying hospital stay, 30 day transfer requirements, etc.) but CAH
swing-bed providers are not required to report revenue code 0022 or HIPPS codes. The
MSN is suppressed.
For more information on the technical criteria for Medicare Part A coverage of SNF
services see Chapter 8, §20 in Pub. 100-02, Medicare Benefit Policy Manual.