100-02 Medicare Benefit Policy Manual: Chapter 5 Crosswalk

Medicare Benefit Policy Manual
Chapter 5 - Lifetime Reserve Days
Crosswalk
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Description
5 	10 	A3-3106A 	HO-219A 	Summary of Provision
5 	10.1 	A3-3106B 	HO-219B 	Effect of Reserve Days on Guarantee of Payment Provision
5 	10.2 	A3-3106C 	HO-219C 	Reserve Days Not Available Where Average Charges Do Not Exceed One-Half
Inpatient Hospital Deductible
5 	10.3 	A3-3106D 	HO-219D 	Availability of Reserve Days Where Psychiatric Limitations Are Involved
5 	10.4 	A3-3106E 	HO-219E 	Availability of Reserve Days for Hospital Emergency Services
5 	10.5 	A3-3106F 	HO-219F 	Physician Certification
5 	20 	A3-3106.1 	HO-219.1 	When Payment Will Be Made for Reserve Days
5 	30 	A3-3106.2 	HO-219.2 	Election Not To Use Lifetime Reserve Days
5 	30.1 	A3-3106.2A 	HO-219.2A 	General
5 	30.2 	A3-3106.2B 	HO-219.2B 	Election Made Prospectively
5 	30.3 	A3-3106.2C 	HO-219.2C 	Retroactive Election
5 	30.4 	A3-3106.2D 	HO-219.2D 	Period Covered by Election

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5 	30.4.1 	A3-3106.2D1 	HO-219.2D1 	Hospitals Not Reimbursed Under Prospective Payment System
5 	30.4.2 	Hospitals Reimbursed Under Prospective Payment System
5 	30.4.2.1 	A3-3106.2D2a 	HO-219.2D2a 	Beneficiary Has One or More Regular Benefit Days Available at Time of
Admission to PPS Hospital - Discharge Before October 1, 1997
5 	30.4.2.2 	A3-3106.2D2b, 	HO-219
.2D2b
Beneficiary Has No Regular Days Available at Time of Admission - Discharge
Before October 1, 1997
5 	30.5 	A3-3106.2E 	HO-219.2E 	Election Where Beneficiary Is Incapacitated
5 	40 	A3-3106.3 	HO-219.3 	Content of Election
5 	40.1 	A3-3106.4 	HO-219.4 	Election Format
5 	40.2 	A3-3106.5 	HO-219.5 	Revocation of Election
5 	40.2.1 	A3-3106.6 	HO-219.6 	Revocation Format