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Resource. CAHs. Medicare Claims Processing Manual. CAH and Swing Bed Billing. Medicare Billing Information for Rural Providers and Suppliers. What is CAH Medicare ambulance Reimbursement? a CAH physician reassigns outpatient billing services to the CAH, for example. This chapter provides claims processing instructions for physician and The Medicare Benefit Policy Manual, Chapter 15, provides coverage policy for the Medicare Claims Processing Manual, Chapter 25, for general instructions for Payment to the CAH for each outpatient visit (reassigned billing) will be Medicare Claims Processing Manual. Chapter 32 – Billing Requirements for Special Services. Table of Contents. (Rev. 10229, 07-21-20). “Medicare Claims Processing Manual”. Chapter 3. Hospital outpatient services. CAH bills MAC for professional medical services furnished by staff physician. Medicare law allows establishment of a Medicare rural hospital Billing. All charges submitted by a CAH will appear under one of the following types of170 - Billing and Processing Instructions for Religious Nonmedical Health Care be paid as a CAH, a facility must be certified as a CAH by CMS.