Roles of Hospitals, Manufacturers, and CMS for Billing for

60.2 - Roles of Hospitals, Manufacturers, and CMS for Billing for Transitional Pass-Through Items (Rev. 1336; Issued: 09-14-07; Effective/Implementation Dates: 10-01-07) In general, hospitals are ultimately responsible for the content of the bills they present to Medicare. If hospitals have questions about appropriate coding that they cannot resolve on their own, the appropriate first step would be to review the HCPCS codes and/or the regulation governing payment for the year of service. CMS does not have to have qualified a particular device for transitional pass-through payment before a hospital can bill for the device. Hospitals are expected to make appropriate coding decisions based on these instructions and other information available to them. Many device manufacturers routinely provide hospital customers with information about appropriate coding of their devices. This may be helpful but does not supersede Federal requirements.