Search results with tag "Centers for medicare medicaid services"
Centers for Medicare Medicaid Services
www.cms.govFor a high cost outlier, the Medicare covered charges are the Medicare allowable charges incurred during the days of the stay that the patient has a Medicare benefit day (either regular, coinsurance, and/or lifetime reserve) available, not the charges related to the LOS for the episode of care. Calculation 3: High Cost Outlier Payment Calculation
Centers for Medicare Medicaid Services
www.cms.govpolicy: the original policy (now called the "greater than 3-day interruption of stay") and the expansion of this policy (the "3-day or less interruption of stay"), effective on July 1, 2004. If a stay falls within either definition, Medicare will pay only one Long-Term Care-Diagnosis Related Group (LTC-DRG) payment to the LTCH.
Centers for Medicare Medicaid Services
library.ahima.orgHIGH COST OUTLIERS FACT SHEET available cost report data in the Healthcare Cost Reporting Information System (HCRIS) and corresponding MedPAR claims data from Fiscal Years (FYs) 1999, 2000, 2001, and 2002.