Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.3.2

Payment for Grandfathered Items Furnished During Subsequent

Last amended: 2008Year: 2008Length: 81 wordsOfficial source
40.3.2 - Payment for Grandfathered Items Furnished During Subsequent Competitive Bidding Contract Periods/Programs (Rev. 1502; Issued: 05-09-08; Effective/Implementation Date: 06-09-08) Payment for any grandfathered item furnished during a subsequent competitive bidding contract period (i.e., when an item is re-bid in a CBA and a new single payment amount is established) is based on the single payment amount for the round of competitive bidding during which the item is furnished and for the CBA in which the beneficiary maintains a permanent residence.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.3.2: Payment for Grandfathered Items Furnished During Subsequent | Justis AI