Type of Bill

60.3 - Type of Bill (Rev. 10521; Issued: 12-16-20; Effective: 01-01-21; Implementation: 01-04-21) The A/B MAC (A) reports counts in total and by type of bill as shown below: Column (1) Total--All provider bills. Column (2) Inpatient Hospital--CMS-1450s submitted by hospitals for inpatient services, with the following two-digit classification codes in Form Locator 4: 1-1 (inpatient hospital); and 4-1 (Religious Nonmedical Health Care Hospital-inpatient). Column (3) Outpatient--CMS-1450s submitted by hospitals or SNFs for outpatient services with the following two-digit classification codes in Form Locator 4: 1-3 (hospital-outpatient); 2-3 (SNF-outpatient); 4-3 Religious Nonmedical Health Care Hospital- outpatient); 5-3 (Religious Nonmedical Health Care SNF-outpatient); and 8- 3 (hospital- outpatient surgical procedures - ASC) Column (4) SNF--CMS-1450s with the following two-digit classification codes in Form Locator 4: 1-8 (hospital-swing-bed); 2-1 (SNF-inpatient); 2-8 (SNF swing- bed); and 5-1 (Religious Nonmedical Health Care-SNF-inpatient). Column (5) HHA--CMS-1450s submitted by HHAs with the following two digit classification codes in Form Locator 4: 3-2 (HHA-Part B visits and use of DME); 3-3 (HHA-Part A visits and DME); 3-4 (HHA-other-Part B-benefits) Column (6) Other--CMS-1450s with the following two-digit classification codes in Form Locator 4: 1-2 (hospital inpatient-Part B benefits); 1-4 (hospital-other-Part B benefits); 2-2 (SNF-inpatient-Part B benefits); 2-4 (SNF-other-Part B benefits); 4-2 (Religious Nonmedical Health Care-inpatient-Part B benefits); 4-4 (Religious Nonmedical Health Care-inpatient-other); 5-2 (Religious Nonmedical Health Care-SNF inpatient-Part B benefits); 5-4 (Religious Nonmedical Health Care-SNF inpatient-other); 7-1, 7-2, 7-3, 7-4, 7-5 (Clinics - provider and independent RHCs, FQHCs, ESRD hospital- based or independent renal dialysis facilities, FQHCs, CMHCs, ORFs and CORFs); 8-1 and 8-2 (Hospices); and 8-7 (Opioid Treatment Programs)