Prospective Payment System for Long-Term Care Hospitals | Midpage

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Code of Federal Regulations

Subpart O

Prospective Payment System for Long-Term Care Hospitals

412.500Basis and scope of subpart.412.503Definitions.412.505Conditions for payment under the prospective payment system for long-term care hospitals.412.507Limitation on charges to beneficiaries.412.508Medical review requirements.412.509Furnishing of inpatient hospital services directly or under arrangement.412.511Reporting and recordkeeping requirements.412.513Patient classification system.412.515LTC-DRG weighting factors.412.517Revision of LTC-DRG group classifications and weighting factors.412.521Basis of payment.412.522Application of site neutral payment rate.412.523Methodology for calculating the Federal prospective payment rates.412.525Adjustments to the Federal prospective payment.412.526Payment provisions for a “subclause (II)” long-term care hospital.412.529Special payment provision for short-stay outliers.412.531Special payment provisions when an interruption of a stay occurs in a long-term care hospital.412.533Transition payments.412.534Special payment provisions for long-term care hospitals-within-hospitals and satellites of long-term care hospitals, effective for discharges occurring in cost reporting periods beginning on or before September 30, 2016.412.535Publication of the Federal prospective payment rates.412.536Special payment provisions for long-term care hospitals and satellites of long-term care hospitals that discharge Medicare patients admitted from a hospital not located in the same building or on the same campus as the long-term care hospital or satellite of the long-term care hospital, effective for discharges occurring on or before September 30, 2016 or in cost reporting periods beginning on or before June 30, 2016.412.538[Reserved]412.540Method of payment for preadmission services under the long-term care hospital prospective payment system.412.541Method of payment under the long-term care hospital prospective payment system.412.560Requirements under the Long-Term Care Hospital Quality Reporting Program (LTCH QRP).