Medicare Claims Processing Manual (Pub. 100-04), Ch. 9 § 40.1

Part B Deductible

Last amended: 2025Year: 2025Length: 128 wordsOfficial source
40.1 - Part B Deductible (Rev. 13264, Issued:06-09-25; Effective: 06-02-25; Implementation: 06-02-25) RHC services are subject to an annual deductible of twenty percent of charges for covered services. Effective for dates of service on or after January 1, 2011, the deductible is not applicable for certain preventive services. Please see section 70 for more information on how to bill for preventive services. RHCs collect the patient’s deductible or the portion of the patient’s deductible that has not already been met. Once RHCs have billed the MAC for services, they do not collect or accept any additional money from the patient for their deductible until the MAC notifies the RHC of how much of the deductible has been met. The Part B deductible does not apply to FQHC services.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 9 § 40.1: Part B Deductible | Justis AI