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CMS Confirms Hospitals May Not Bill Secondary Payor Insurers For Amounts In Excess Of Medicare Coinsurance And Deductible Amounts


CMS has re-affirmed earlier 2004 guidance that hospitals participating in the Medicare program may not, where Medicare is primary, bill secondary payor insurers for amounts in excess of applicable Medicare coinsurance and deductible amounts, regardless of the terms of hospital contracts with the payors.

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Arthur N. Lerner
Partner – Washington, D.C.
Phone: +1 202.624.2820