• CMS Ruling and Proposed Rule on Rebilling Part A Claims as Part B
  • March 19, 2013 | Authors: Ronald S. Connelly; Barbara Straub Williams
  • Law Firm: Powers Pyles Sutter & Verville, PC - Washington Office
  • On March 13, 2013, the Centers for Medicare and Medicaid Services (CMS) issued Ruling 1455-R and a proposed rule to change the current requirements for rebilling Part A claims that are denied as not reasonable and necessary in an inpatient setting. Under both the Ruling and the proposed rule, hospitals will be permitted to rebill Medicare Part B for certain services when an inpatient admission is determined not to be reasonable and necessary. The Ruling is effective immediately. The proposed rule would be effective from the date of the final rule and would then supersede the Ruling.