Medicare Claims Processing Manual (Pub. 100-04), Ch. 19 § 100.8.2
A/B MAC (A) - CAH Swing-bed - Inpatient Ancillary Claims -
100.8.2 - A/B MAC (A) - CAH Swing-bed - Inpatient Ancillary Claims -
Medicare Part B - Payment Policy
(Rev. 1325; Issued: 08-29-07; Effective: 01-01-08; Implementation: 01-07-08)
The IHS CAHs are paid for covered inpatient Medicare Part B ancillary services based
upon 101 percent of an all inclusive facility specific per diem rate that is established on a
yearly basis from prior year cost report information. Medicare Part B deductible and
coinsurance amounts are applied to inpatient Medicare Part B ancillary services, but are
waived by the IHS.