Skip to main content
U.S. flag

An official website of the United States government

Return to Search

Section 148 of The Medicare Improvements for Patients and Providers Act (MIPPA)

This Change Request (CR) provides billing instructions based on the new criteria for determining a patient’s outpatient status for a CAH or an entity provider-based to the CAH, per Section 148 of MIPPA.

Download the Guidance Document

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

Issue Date: May 08, 2009

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.