AHA Coding Clinic® for HCPCS - 2006 Issue 2; FOR your INFORMATION

Medicare's three-day window rule and same-day services

Medicare has clarified that the three-day payment window rule replaced the same-day service rule. The same-day service rule required all services, both diagnostic and nondiagnostic, to be bundled with the inpatient claim. CMS has indicated that the three-day payment window rule requires that all diagnostic services provided within three days prior to a patient’s admission (including the day of admission) must be bundled with the inpatient claim, and the nondiagnostic services to be billed separately to Part B (OPPS). Further information on this clarification can be found in Transmittal 7643, Change Request 4047, which was issued by CMS...

To read the full article, sign in and subscribe to the AHA Coding Clinic® for HCPCS.


The AHA Coding Clinic for HCPCS includes:

  • The official publication for Level I HCPCS (CPT-4 codes) for hospital providers
  • Also specific Level II HCPCS codes for hospitals, physicians and other health professionals
  • Current newsletters added each quarter
  • Full Archives back to 2001
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information page link back to related articles
  • View all the articles associated with any code, right from the code page!
Access to this feature is available in the following products:
  • AHA's Coding Clinic® - HCPCS +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

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