Medicare Claims Processing Manual (Pub. 100-04), Ch. 6 § 50.2.3

Beneficiary Liability Billing Instructions

Last amended: 2008Year: 2008Length: 80 wordsOfficial source
50.2.3 - Beneficiary Liability Billing Instructions (Rev. 1555; Issued: 07-18-08; Effective Date: 01-01-09; Implementation Date: 01- 05-09) The SNF shall file a non-payment bill for noncovered Part A services, using condition code 21 that indicates beneficiary liability. Services that would have been eligible for Part A benefits in the absence of sanctions cannot be billed as Part B charges. However, the SNF may directly bill the beneficiary, family members or other third party insurers for services provided to that beneficiary.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 6 § 50.2.3: Beneficiary Liability Billing Instructions | Justis AI