The Centers for Medicare & Medicaid Services (CMS) requests that Medicare Administrative Contractors (MACs) follow various protocols for review codes and utilize corrections to the payment of Inpatient Prospective Payment System (IPPS) transfer claims that are classified to MS-DRG 385 from full IPPS payment to a per diem transfer payment.
Subject: Correcting Payment of Inpatient Prospective Payment System (IPPS) Transfer Claims Assigned to Medicare Severity-Diagnosis Related Group (MS DRG) 385 and Allowing Part A Deductible on Medicare Secondary Payer (MSP) Same Day Transfer Inpatient Claims
Release Date: September 13, 2017
Effective Date: January 1, 2018
Implementation Date: January 2, 2018
Special Notes: Transmittal 1870, dated July 27, 2017, is being rescinded and replaced by Transmittal 1918, dated, September 13, 2017 to remove business requirement 10145.2. All other information remains the same.