Rule 23-202-1.16 - Split BillingA. Under Diagnosis Related Groups (DRG)-based payment, hospitals cannot split bill inpatient hospital Medicaid claims when a stay crosses a state fiscal year end, cost report year end, or under any other circumstance unless otherwise specified by the Division of Medicaid.B. For Mississippi Medicaid, the seventy-two (72) hour observation stay is not considered a split bill.C. Refer to Miss. Admin. Code Part 202, Rule 1.14.E. for split billing of claims for services subject to the three (3) day window rule.23 Miss. Code. R. § 202-1.16
Miss. Code Ann. §§ 43-13-117, 43-13-121.