Further Information on the Implementation of Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) Based on Specific Clinical Criteria
Change Request (CR) 9015, Transmittal 1544, Implementation of Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) Based on Specific Clinical Criteria, issued September 22, 2015, describes the immediately preceding hospital as an Inpatient PPS hospital, which is inconsistent with the policy set forth in the Code of Federal Regulations. The regulations at CFR 412.522 specifies the immediately preceding discharge is from a “subsection (d) hospital”, which in general, means a hospital located in one of the 50 States or the District of Columbia other than certain specified IPPS-excluded hospitals (that is, psychiatric hospitals, rehabilitation hospitals, children’s hospitals, LTCHs, and cancer hospitals) (see §412.503).
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: October 18, 2016
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