Law360, New York ( April 24, 2013, 1:23 PM EDT) -- On March 13, 2013, the Centers for Medicare & Medicaid Services (CMS) concurrently issued CMS Ruling Number CMS-1455-R and a proposed rule, "Part B Inpatient Billing in Hospitals."[1] The administrator's ruling and proposed rule address the submission of Medicare Part B inpatient claims where a Medicare Part A claim for a hospital inpatient admission is denied by a Medicare review contractor on the grounds that the inpatient admission was not "reasonable and necessary."...
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