US · guidance
CMS Pub. 100-04, ch. 32, § 130.2
Special Intermediary Billing and Payment Requirements
Payment is made to hospitals for the facility costs it incurs under Part B on a reasonable cost basis. Payment is
also made to PPS-exempt hospitals for the facility costs it incurs on a reasonable cost basis. Deductible and
coinsurance apply.
Applicable bill types are 12X, 13X, 83X or 85X.
History
(Rev. 898, Issued: 03-31-06; Effective/Implementation Dates: 03-31-06)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
e1410e925b1bcbe53b5b6abc572492df021abec10c082cb227dbc0510d9cc28d
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