- (a) The Department pays for inpatient stays consisting of an admission with subsequent discharge during the same calendar day.
- (b) The services must be provided under this chapter.
- (c) The interim payment rate is based on 50% of the inpatient per diem rate on file determined in this chapter.
- (d) Payment for ancillary services provided to patients during same- calendar-day stays are included in the interim payment. The hospital may not submit a separate bill for these services.
- (e) For auditing purposes each same-calendar-day admission and discharge will be counted as 1/2 day.
- (f) Without exception same-calendar-day stays, regardless of the reason for the stay, are subject to § § 1163.471—1163.481 (relating to utilization control) and will be reimbursed only if provided under this section.
Source
The provisions of this § 1163.458 adopted June 22, 1984, effective July 1, 1984, 14 Pa.B. 2185.
Cross References
This section cited in 55 Pa. Code § 1163.451 (relating to general payment policy); and 55 Pa. Code § 1163.457 (relating to payment policies relating to out-of-State hospitals).