US · guidance
CMS Pub. 100-04, ch. 3, § 170.2.1
When to Bill for RNHCI Services
RNHCIs submit claims to their Medicare contractor in the following situations:
• At the time of beneficiary's discharge, or death.
• At the time the beneficiary's benefits are exhausted
• On an interim basis monthly.
RNHCIs submit a claim even where the charges do not exceed the beneficiary's
deductible. See section 40 for instructions regarding reporting of utilization days.
History
(Rev. 2654, Issued: 02-08-13, Effective: 05-09-13, Implementation, 05-09-13)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
b86db51e61070fd94bbde1eac9096f9fadce0d18ed4b500405b925c0a5b5af01
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