Medicare Claims Processing Manual (Pub. 100-04), Ch. 7 § 10.3

Determining How Much to Charge Before Billing Is Submitted

Last amended: 2003Year: 2003Length: 110 wordsOfficial source
10.3 - Determining How Much to Charge Before Billing Is Submitted (Rev. 1, 10-01-03) SNF-529.1 The SNF may be able to determine from the SNF's records, from a transferring hospital, or from the patient the extent to which the Part B cash deductible is met. The SNF may charge the patient for the unmet deductible and coinsurance. The SNF should submit a bill even if no payment can be made because the unmet Part B cash deductible exceeds the covered charges. In addition, a bill is required when the SNF becomes aware that no bill has been submitted for covered services even though the time limitation for filing has expired.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 7 § 10.3: Determining How Much to Charge Before Billing Is Submitted | Justis AI