US · guidance
CMS Pub. 100-04, ch. 7, § 10.3
Determining How Much to Charge Before Billing Is Submitted
SNF-529.1
The SNF may be able to determine from the SNF's records, from a transferring hospital,
or from the patient the extent to which the Part B cash deductible is met. The SNF may
charge the patient for the unmet deductible and coinsurance. The SNF should submit a
bill even if no payment can be made because the unmet Part B cash deductible exceeds
the covered charges. In addition, a bill is required when the SNF becomes aware that no
bill has been submitted for covered services even though the time limitation for filing has
expired.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
cbf6ee3f1ef5db0991b992fdb947531cc5743c1daea2f4ed1f525760e881a6d1
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