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Region D

Issue Title

Visits to Patients in Swing Beds




If the inpatient care being billed by the hospital with swing bed approval is for nursing facility care, then the nursing facility codes apply.


AK, AZ, CA, HI, IA, ID, KS, MO, MT, ND, NV, OR,SD, UT, WA, WY, Guam, American Samoa and Northern Marianas

Provider Type


Date of Service

Claims that have a “claim paid date” which is more than 3 years prior to the Demand Letter date


Medicare Claims Processing Manual: CMS Publication 100-04; Chapter 12, § 30.6.9.​​

Date Posted


Date Revised


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Created at 6/5/2013 10:16 AM by Aaron Gough
Last modified at 6/5/2013 10:36 AM by Aaron Gough