Medicare Summary Notice (MSN) for Services in Hospitals That
Do Not Charge
Where the hospital does not charge for outpatient services, the A/B MAC (A) does not
send the individual an MSN. This avoids confusion and the appearance that the
beneficiary is liable for services received.
Billing Transplant Services
Medicare covers the following organ transplants: kidney, heart, lung, heart/lung, liver,
pancreas, pancreas/kidney, and intestinal/multi-visceral. Medicare also covers stem cell
transplants for certain conditions.
On March 30, 2007, the Department of Health and Human Services (DHHS) established a
regulation authorizing the survey and certification of organ transplant programs. The
Centers for Medicare & Medicaid Services (CMS) is the Federal agency responsible for
monitoring compliance with the Medicare conditions of participation. All hospital
transplant programs covered by the regulation (does not include stem cell transplants),
whether currently approved by CMS or seeking initial approval, must submit a request for
approval under the new regulations to CMS by December 26, 2007 (180 days from the
effective date of the regulation.)
