CMS Manual System

CMS Manual System Department of Health & Human Services (DHHS) Pub 100-20 One-Time Notification Centers for Medicare & Medicaid Services (CMS) Transmittal 11243 Date: January 27, 2022 Change Request 12590 SUBJECT: Method of Payment and Cost Settlement for Inpatient Services for Hospitals participating under the Rural Community Hospital Demonstration I. SUMMARY OF CHANGES: This memorandum provides the payment methodology for Round 4 of the demonstration, the list of participating hospitals, the periods of performance for all hospitals, the methodology for establishing enhanced interim payments and conducting final cost report settlements, and requirements for the MACs with regard to collaborating with a separate audit contractor. EFFECTIVE DATE: May 1, 2020 *Unless otherwise specified, the effective date is the date of service. IMPLEMENTATION DATE: March 29, 2022 Disclaimer for Manual changes only: The revision date and transmittal number apply only to red italicized material.

4. In accordance with 42 CFR 412.2(c)(5), preadmission services otherwise payable under Medicare Part B furnished to a beneficiary on the date of the beneficiary’s admission to the hospital and during the 3 calendar days immediately preceding. 5. The Participating Hospital will receive payment on a reasonable cost-based payment for anesthesia

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