FI - CAH Outpatient - Medicare Part B - Payment Policy for Indian Health Services (Rev. 1040, 09-11-06)

by  Jared Staheli
June 25th, 2015

The IHS CAHs are paid for covered outpatient services based on 101 percent of an all inclusive facility specific per visit rate that is established on a yearly basis from prior year cost report information for both facilities electing Standard Method I and Optional Method II billing.

For services provided in IHS CAHs, deductible and coinsurance amounts are applied by Medicare, but are waived by the IHS. Third party payers may be billed for applicable deductible and coinsurance amounts.

See Chapter 4, §§250.1 and 250.2 of Pub. 100-04, Medicare Claims Processing Manual, for more information on the payment of Method I and II CAH outpatient claims.

See §§100.10 and 100.11 of this chapter, for more information on the payment of vaccines and their administration and therapeutic services.

References:

FI - CAH Outpatient - Medicare Part B - Payment Policy for Indian Health Services (Rev. 1040, 09-11-06). (2015, June 25). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/fi-cah-outpatient-medicare-part-b-payment-policy-for-indian-health-services-rev-1040-09-11-06-26860.html

© InnoviHealth Systems Inc

Article Tags  (click on a tag to see related articles)


Publish this Article on your Website, Blog or Newsletter

This article is available for publishing on websites, blogs, and newsletters. The article must be published in its entirety - all links must be active. If you would like to publish this article, please contact us and let us know where you will be publishing it. The easiest way to get the text of the article is to highlight and copy. Or use your browser's "View Source" option to capture the HTML formatted code.

If you would like a specific article written on a medical coding and billing topic, please Contact Us.


contact

innoviHealth Systems, Inc.
62 East 300 North
Spanish Fork, UT 84660
Phone: 801-770-4203 (9-5 Mountain)
Email:
free demo
request yours today
pricing
for any budget
sign IN
welcome back!

Thank you for choosing Find-A-Code, please Sign In to remove ads.