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December 29, 2020

3-Day Payment Window for Services Provided to Outpatients Resources

The Centers for Medicare & Medicaid Services (CMS) developed the MLN Matters Special Edition Article FAQs on the 3-Day Payment Window for Services Provided to Outpatients Who Later Are Admitted as InpatientsExternal PDF. This article explains the billing procedures and provides resources to avoid incorrect billing for outpatient services within 3 days before date of admission and on the date of admission. The following list also includes CMS resources you should be familiar with. Please share this with your appropriate staff.

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