Prospective Payment System for Long-Term Care Hospitals

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medicare Program
  6. Prospective Payment Systems for Inpatient Hospital Services
  7. Prospective Payment System for Long-Term Care Hospitals

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Section
412.500

Basis and scope of subpart.

Section
412.503

Definitions.

Section
412.505

Conditions for payment under the prospective payment system for long-term care hospitals.

Section
412.507

Limitation on charges to beneficiaries.

Section
412.508

Medical review requirements.

Section
412.509

Furnishing of inpatient hospital services directly or under arrangement.

Section
412.511

Reporting and recordkeeping requirements.

Section
412.513

Patient classification system.

Section
412.515

LTC-DRG weighting factors.

Section
412.517

Revision of LTC-DRG group classifications and weighting factors.

Section
412.521

Basis of payment.

Section
412.522

Application of site neutral payment rate.

Section
412.523

Methodology for calculating the Federal prospective payment rates.

Section
412.525

Adjustments to the Federal prospective payment.

Section
412.526

Payment provisions for a “subclause (II)” long-term care hospital.

Section
412.529

Special payment provision for short-stay outliers.

Section
412.531

Special payment provisions when an interruption of a stay occurs in a long-term care hospital.

Section
412.533

Transition payments.

Section
412.534

Special 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.

Section
412.535

Publication of the Federal prospective payment rates.

Section
412.536

Special 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.

Section
412.538

§ 412.538 [Reserved]

Section
412.540

Method of payment for preadmission services under the long-term care hospital prospective payment system.

Section
412.541

Method of payment under the long-term care hospital prospective payment system.

Section
412.560

Requirements under the Long-Term Care Hospital Quality Reporting Program (LTCH QRP).