FI - CAH Swing-bed - Medicare Part A - Claims Processing for Indian Health Services (Rev. 1040, 09-11-06)

by  Jared Staheli, MPP
Jun 25th, 2015

Services are itemized and billed with the appropriate revenue code that describes the service on TOB 18X (hospital swing-bed). Technical criteria for swing-bed admissions apply (i.e., 3 day qualifying hospital stay, 30 day transfer requirements, etc.) but CAH swing-bed providers are not required to report revenue code 0022 or HIPPS codes. The MSN is suppressed.

For more information on the technical criteria for Medicare Part A coverage of SNF services see Chapter 8, §20 in Pub. 100-02, Medicare Benefit Policy Manual.