Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.3

Payment for Grandfathered Items Furnished During the Initial

Last amended: 2008Year: 2008Length: 85 wordsOfficial source
40.3 - Payment for Grandfathered Items Furnished During the Initial Competitive Bidding Contract Period/Program (Rev. 1502; Issued: 05-09-08; Effective/Implementation Date: 06-09-08) Payment for a grandfathered item(s) furnished during the initial competitive bidding contract period (i.e., when the item is bid for the first time in a CBA) varies depending on the payment category to which the item(s) belongs (See section 40.3.1 of this chapter). In all cases, assignment of claims is mandatory, and suppliers must accept the Medicare allowed payment amount as payment in full.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.3: Payment for Grandfathered Items Furnished During the Initial | Justis AI