Does Medicare Allow Interim Billing?

Does Medicare Allow Interim Billing?

Effective December 3, 2007, when a beneficiary's Medicare benefits exhaust in an IPF or an LTCH, the hospital is allowed to submit a no pay bill (TOB 110) with a patient status code 30 in 60 day increments until discharge. They no longer have to continually adjust bills until physical discharge or death.

What is interim billing in healthcare?

Interim bills are a series of claims filed by a facility to the same third party payer for the same confinement or course of treatment for a patient who is expected to remain in the facility for an extended period of time. PRIOR AUTHORIZATION. Not applicable.

What is the bill type for interim billing?

Inpatient interim claims contain a Type of Bill (TOB) of 112 “Inpatient – 1st Claim”, 113 “Inpatient – Cont. Claim”, and 114 “Inpatient – Last Claim”. Claims with TOB 112 and 113 contain a Patient Status of 30 “Still Patient”.

Robert Thorne
Author

Robert Thorne

Robert Thorne covers electric vehicle innovations, autonomous driving systems, global mobility trends, and automotive engineering developments.