Case Management

Long-term care hospitals to receive 3.1 percent hike in payment

Case Management Weekly, May 5, 2004

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CMS recently increased Medicare payment rates for long term care hospitals (LTCH) by 3.1 percent. The new rate will take effect July 1, 2004. Along with the new payment rate CMS also established three days as the threshold for an interrupted stay, or when a patient is discharged to a skilled nursing facility, acute care hospital, inpatient rehab facility or to the patient's home and then readmitted to an LTCH. The entire hospitalization, before and after the interruption is covered as one episode of care.

The agency also changed the procedure for calculating a hospital's average length of stay. When the calculation is made to qualify for payment under the LTCH prospective payment system, days will be counted only in the cost-reporting period when the discharge occurs.



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