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Search results with tag "Inpatient services"
HOSPITAL SERVICES PROVIDER MANUAL
www.lamedicaid.comPrecertification of inpatient hospital services is no longer a requirement for Legacy/Fee-for-Service Medicaid. Each day of an inpatient stay must be medically necessary. All claims for inpatient services are subject to post payment medical necessity review and recoupment , if medical necessity is not met.
Billing for Hospital Part B Inpatient Services
www.cms.govMar 22, 2019 · A hospital may bill for Part B inpatient services if the hospital determines under Medicare's utilization review requirements that a beneficiary should have received hospital outpatient rather than hospital inpatient services, and the hospital already discharged the beneficiary from the hospital (commonly referred to as hospital self-audit).