Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 202 - Hospital Services
Chapter 1 - Inpatient Services
Rule 23-202-1.16 - Split Billing
Universal Citation: MS Code of Rules 23-202-1.16
Current through September 24, 2024
A. Under Diagnosis Related Groups (DRG)-based payment, hospitals cannot split bill inpatient hospital Medicaid claims when a stay crosses a state fiscal year end, cost report year end, or under any other circumstance unless otherwise specified by the Division of Medicaid.
B. For Mississippi Medicaid, the seventy-two (72) hour observation stay is not considered a split bill.
C. Refer to Miss. Admin. Code Part 202, Rule 1.14.E. for split billing of claims for services subject to the three (3) day window rule.
Miss. Code Ann. §§ 43-13-117, 43-13-121.
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