WI

Document ID: CMS-2013-0051-0010
Document Type: Public Submission
Agency: Centers For Medicare & Medicaid Services
Received Date: March 25 2013, at 12:00 AM Eastern Daylight Time
Date Posted: March 28 2013, at 12:00 AM Eastern Standard Time
Comment Start Date: March 18 2013, at 12:00 AM Eastern Standard Time
Comment Due Date: May 17 2013, at 11:59 PM Eastern Standard Time
Tracking Number: 1jx-84ee-ld6i
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This is comment on Proposed Rule

Medicare Programs: Inpatient Billing in Hospitals; Part B

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An inpatient part B bill type is 121 and an outpatient bill type is 131. The 121 is used in several scenarios like when a patient has exhausted their part A benefits. If the RAC is saying the patient's stay does not meet the criteria of an inpatient stay then the providers should be able to bill a 131 bill type within 12 months of the date of the RAC or subsequent appeal decision. If we are forced to file a 121, the MAC's will never be able to apply the rules correctly and know that for some 121 bill types, additional services are billable. We have provided the care and should be able to bill for all care provided.