FAQs on the 3-Day Payment Window for Services Provided to Outpatients Who Later Are Admitted as Inpatients
This Article comprises Sub-regulatory guidance that further explains the billing procedures and provides additional resources to avoid incorrect billing for outpatient services within 3 days before date of admission and on the date of admission.
This is in response to an Office of Inspector General (OIG) May 2020 report. MLN Matters (MM) Articles are based on Change Requests (CRs). Special Edition (SE) Articles clarify existing policy.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 03, 2020
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.