Medicare Claims Processing Manual (Pub. 100-04), Ch. 7 § 10.3
Determining How Much to Charge Before Billing Is Submitted
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.