Source: http://www.law.cornell.edu/cfr/text/42/412.505
Timestamp: 2013-12-18 17:34:59
Document Index: 583871187

Matched Legal Cases: ['art 412', '§ 412', '§ 412', '§ 412', '§ 412', '§ 412', '§ 412', '§ 412', '§ 412', '§ 412', '§ 412', '§ 1302', '§ 1395', '§ 1395', 'art 412']

42 CFR 412.505 - Conditions for payment under the prospective payment system for long-term care hospitals. | Title 42 - Public Health | Code of Federal Regulations | LII / Legal Information Institute
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42 CFR 412.505 - Conditions for payment under the prospective payment system for long-term care hospitals.
§ 412.505
Conditions for payment under the prospective payment system for long-term care hospitals.
(a) Long-term care hospitals subject to the prospective payment system.
To be eligible to receive payment under the prospective payment system specified in this subpart, a long-term care hospital must meet the criteria to be classified as a long-term care hospital set forth in § 412.23(e) for exclusion from the acute care hospital inpatient prospective payment systems specified in § 412.1(a)(1). This condition is subject to the special payment provisions of § 412.22(c), the provisions on change in hospital status of § 412.22(d), the provisions related to hospitals-within-hospitals under § 412.22(e), and the provisions related to satellite facilities under § 412.22(h).
(1) Effective for cost reporting periods beginning on or after October 1, 2002, a long-term care hospital must meet the conditions for payment of this section, § 412.22(e)(3) and (h)(6), if applicable, and § 412.507 through § 412.511 to receive payment under the prospective payment system described in this subpart for inpatient hospital services furnished to Medicare beneficiaries.
(2) If a long-term care hospital fails to comply fully with these conditions for payment with respect to inpatient hospital services furnished to one or more Medicare beneficiaries, CMS may withhold (in full or in part) or reduce Medicare payment to the hospital.
[67 FR 56049, Aug. 30, 2002, as amended at 71 FR 48140, Aug. 19, 2006]
This is a list of United States Code sections, Statutes at Large, Public Laws, and Presidential Documents, which provide rulemaking authority for this CFR Part.This list is taken from the Parallel Table of Authorities and Rules provided by GPO [Government Printing Office].It is not guaranteed to be accurate or up-to-date, though we do refresh the database weekly. More limitations on accuracy are described at the GPO site.United States CodeU.S.C. : Title 42 - THE PUBLIC HEALTH AND WELFARE§ 1302 - Rules and regulations; impact analyses of Medicare and Medicaid rules and regulations on small rural hospitals§ 1395y - Exclusions from coverage and medicare as secondary payer§ 1395hh - Regulations
Title 42 published on 2012-10-01The following are ALL rules, proposed rules, and notices (chronologically) published in the Federal Register relating to 42 CFR 412 after this date.2013-05-10; vol. 78 # 91 - Friday, May 10, 201378 FR 27486 - Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Fiscal Year 2014 Rates; Quality Reporting Requirements for Specific Providers; Hospital Conditions of Participation
2013-05-08; vol. 78 # 89 - Wednesday, May 8, 201378 FR 26880 - Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2014
typeregulations.gov FR Doc.2013-10755 RIN0938-AR66 CMS-1448-P DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services Proposed rule. To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on July 1, 2013. 42 CFR Part 412 SummaryThis proposed rule would update the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2014 (for discharges occurring on or after October 1, 2013 and on or before September 30, 2014) as required by the statute. We are also proposing to revise the list of diagnosis codes that are used to determine presumptive compliance under the “60 percent rule,” update the IRF facility-level adjustment factors, revise sections of the Inpatient Rehabilitation Facility-Patient Assessment Instrument, revise requirements for acute care hospitals that have IRF units, clarify the IRF regulation text regarding limitation of review, update references to previously changed sections in the regulations text, and revise and update quality measures and reporting requirements under the IRF quality reporting program.