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Mailing Address Change Inpatient Hospital Claim Forms

Mailing Address Change Inpatient Hospital Claim Forms

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Hello my name is Aileen Sigler and I'm with Provider Outreach and Education at WPS GHA. In this segment we'll be discussing the submission of claims for outpatient services received during an inpatient stay. Section 18 12 of the Social Security Act, states that inpatient hospital services that are provided to Medicare beneficiaries are paid under Part A. This includes inpatient stays at short-term acute or inpatient prospective payment system hospitals,   inpatient rehabilitation facilities, long-term care hospitals, inpatient psychiatric facilities , and critical access hospitals. During an inpatient stay, the admitting hospital is responsible for the patient's overall plan of care; therefore, all items and non physician services are considered Part A services and must be provided directly by that hospital or under arrangement with another provider and billed to Medicare by the inpatient hospital on its Part A claim. This provision, sometimes referred to as hos

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