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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.
Payment Interim claim(s) are reimbursed on a per diem basis. Upon discharge of the patient, the provider submits a final claim using type of bill 111 and containing charges for the full length of stay, including all diagnosis and procedure codes for the entire stay. The claim is priced using the DRG method.