23 Miss. Code. R. 202-1.16 - Split Billing

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.

Notes

23 Miss. Code. R. 202-1.16
Miss. Code Ann. ยงยง 43-13-117, 43-13-121.
Revised - 10/01/2012 Amended 3/1/2019 Amended 7/1/2021

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