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Clarification of Payment Window for Outpatient Services Treated as Inpatient Services

This Change Request shows how to implement the Preservation of Access
to Care Act (PACA) Section 102. The new law makes the policy pertaining to admission-related outpatient
non-diagnostic services more consistent with common hospital billing practices.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: October 29, 2010

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.