WAG 20-27-03: Payment

PM 20-27-03.

1. (Provider) Attaches HFS's letter acknowledging notification of proposed transplant to bill.
2. (CO) Does not process payment unless acknowledgment letter is attached.
3. (CO) Pays kidney and cornea transplants at either the DRG or the hospital's per diem rate.
4. (CO) Pays at 60% of usual and customary charge for 3 days pre-operative care and for post-operative days.