CMS: Review Medicare policy for billing Part B inpatient services

CMS recently reminded hospitals to review compliance with Medicare policy for billing Part B inpatient services.

MLN Matters article MM11413, released September 13, instructs hospitals to review billing timelines and use of revenue codes for Part B inpatient claims. Part B inpatient services must be billed on a 12X Type of Bill (TOB) and must be submitted to the appropriate Medicare Administrative Contractor (MAC) within timely filing limits. For Part B inpatient claims, the timely filing limit is generally no later than 12 months after the date the services were furnished. Detailed information on exceptions to the timely filing limit are explained in the Medicare Claims Processing Manual.

MM11413 also notes that MACs were recently reminded that revenue code 0240 may be used on Part B inpatient claims. Revenue code 0240 is used by rural hospitals for kidney disease education services.

For more information, hospitals are instructed to contact their MAC.