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Pub 100-04 Medicare Claims Processing: Updates to Pub 100-04, Medicare Claims Processing Manual, Chapter 3: Inpatient Hospital Billing

Guidance that provides corrections and clarifications to the Medicare Claims Processing Manual, Chapter 3: Inpatient Hospital Billing. It corrects hemophilia diagnosis code descriptions in the section for Payment for Blood Clotting Factor Administered to Hemophilia Inpatients, clarifies billing instructions for the non-outlier period after regular benefit days are exhausted in the section for Billing Coverage and Utilization Rules for PPS and Non-PPS Hospitals, and clarifies application of the Code First policy in the section for Application of Code First.

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

Issue Date: April 22, 2011

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.