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Policy: BlueCross Blue Shield of Rhode Island covers interim billing for payment of services provided by an acute rehabilitation/skilled nursing facility, hospice or home health agency. Interim billing is covered for acute care hospitals only if the hospital is covered at a per diem rate.
The CAH will receive an interim incentive payment that will later be reconciled on the Medicare cost report. The interim payment will be calculated using the Medicare Share based on the data reported on the hospital's latest submitted 12-month cost report.