When a hospital provides services to a Medicare patient as an outpatient within 72 hours before a related inpatient admission, charges for those outpatient services __________________________.

Question

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Outpatient services provided within 72 hours before a related inpatient admission to a Medicare patient must be included on the inpatient bill and not billed separately. This is to avoid duplicate billing for services related to the inpatient admission.

When a Hospital Provides Services to a Medicare Patient as an Outpatient