Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare
On November 20, 2020, CMS posted Transmittal 10469 for Medicare contractors to update the claims processing system with the new Calendar Year (CY) 2021 Medicare rates. This Recurring Update applies to Chapter 3, Sections 10.3, 20.2 and 20.6 of the Medicare General Information, Eligibility, and Entitlement manual.
2021 PART A – HOSPITAL INSURANCE (HI)
Part A Deductible
• $1,484.00
Part A Coinsurance
- $371.00 a day for 61st-90th day
- $742.00 a day for 91st-150th day (lifetime reserve days)
- $185.50 a day for 21st-100th day (Skilled Nursing Facility (SNF) coinsurance)
PART B – SUPPLEMENTARY MEDICAL INSURANCE (SMI)
Part B Standard Premium
- $148.50 a month
Part B Deductible
- $203.00 a year
Pro Rata Data Amount
- $145.31 1st month
- $57.69 2nd month
Coinsurance
- 20 percent
Please share this update with your billers as there is additional information in the CR.
