Medicare Claims Processing Manual (Pub. 100-04), Ch. 6 § 90

Medicare Advantage (MA) Beneficiaries

Last amended: 2007Year: 2007Length: 70 wordsOfficial source
90 - Medicare Advantage (MA) Beneficiaries (Rev. 1252, Issued: 05-25-07; Effective: 10-01-06; Implementation: 08-27-07) For billing to MA plans, SNFs follow the requirements of the agreement they have with the plans. In cases where the patient may have enrolled or disenrolled from the plans during the billing period, the SNF will split the bill and send the plan’s portion to it and the remaining portion to the A/B MAC (A).
Medicare Claims Processing Manual (Pub. 100-04), Ch. 6 § 90: Medicare Advantage (MA) Beneficiaries | Justis AI