Medicare Claims Processing Manual (Pub. 100-04), Ch. 8 § 10.2

Uncompleted Treatments

Last amended: 2021Year: 2021Length: 86 wordsOfficial source
10.2 - Uncompleted Treatments (Rev. 10640, Issued:08-06-21, Effective:09-07-21, Implementation:09-07-21) A dialysis treatment is started, when a patient is connected to the machine and a dialyzer and bloodlines are used. However, if the is not completed for some unforeseen, but valid reason such as a medical emergency when the patient must be rushed to an emergency room, the facility is paid based on the full Prospective Payment System (PPS) base rate This is a rare occurrence and must be fully documented to the A/B MAC (A)’s satisfaction.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 8 § 10.2: Uncompleted Treatments | Justis AI