Medicare Claims Processing Manual (Pub. 100-04), Ch. 2 § 10.3

Requiring Prepayment as a Condition of Admission is Prohibited

Last amended: 2003Year: 2003Length: 87 wordsOfficial source
10.3 - Requiring Prepayment as a Condition of Admission is Prohibited (Rev. 1, 10-01-03) HO-303, SNF-317 Providers must not require advance payment of the inpatient deductible or coinsurance as a condition of admission. Additionally, providers may not require that the beneficiary prepay any Part B charges as a condition of admission, except where prepayment from non-Medicare patients is required. In such cases, only the deductible and coinsurance may be collected. Where the patient does not have Part B entitlement, the provider will follow the rules in §10.6.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 2 § 10.3: Requiring Prepayment as a Condition of Admission is Prohibited | Justis AI