Code of Federal Regulations (Last Updated: July 5, 2024) |
Title 42 - Public Health |
Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
SubChapter B - Medicare Program |
Part 424 - Conditions for Medicare Payment |
Subpart B - Certification and Plan Requirements |
§ 424.15 - Requirements for inpatient CAH services.
Latest version.
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§ 424.15 Requirements for inpatient CAH services.
(a) Medicare Part A pays for inpatient CAH services only if a physician certifies that the individual may reasonably be expected to be discharged or transferred to a hospital within 96 hours after admission to the CAH, and that the services are provided in accordance with § 412.3 of this chapter.
(b) Certification begins with the order for inpatient admission. All certification requirements must be completed, signed, and documented in the medical record no later than 1 day before the date on which the claim for payment for the inpatient CAH service is submitted.
[78 FR 50970, Aug. 19, 2013, as amended at 79 FR 50359, Aug. 22, 2014]