Title 42

PART 412 SUBPART O

Subpart O - Prospective Payment System for Long-Term Care Hospitals Source:67 FR 56049, Aug. 30, 2002, unless otherwise noted.

• 42 U.S.C. 1302 and 1395hh.
• Source: 50 FR 12741, Mar. 29, 1985, unless otherwise noted.

42:2.0.1.2.13.15.61.1	SECTION 412.500	412.500 Basis and scope of subpart.
42:2.0.1.2.13.15.61.2	SECTION 412.503	412.503 Definitions.
42:2.0.1.2.13.15.61.3	SECTION 412.505	412.505 Conditions for payment under the prospective payment system for long-term care hospitals.
42:2.0.1.2.13.15.61.4	SECTION 412.507	412.507 Limitation on charges to beneficiaries.
42:2.0.1.2.13.15.61.5	SECTION 412.508	412.508 Medical review requirements.
42:2.0.1.2.13.15.61.6	SECTION 412.509	412.509 Furnishing of inpatient hospital services directly or under arrangement.
42:2.0.1.2.13.15.61.7	SECTION 412.511	412.511 Reporting and recordkeeping requirements.
42:2.0.1.2.13.15.61.8	SECTION 412.513	412.513 Patient classification system.
42:2.0.1.2.13.15.61.9	SECTION 412.515	412.515 LTC-DRG weighting factors.
42:2.0.1.2.13.15.61.10	SECTION 412.517	412.517 Revision of LTC-DRG group classifications and weighting factors.
42:2.0.1.2.13.15.61.11	SECTION 412.521	412.521 Basis of payment.
42:2.0.1.2.13.15.61.12	SECTION 412.522	412.522 Application of site neutral payment rate.
42:2.0.1.2.13.15.61.13	SECTION 412.523	412.523 Methodology for calculating the Federal prospective payment rates.
42:2.0.1.2.13.15.61.14	SECTION 412.525	412.525 Adjustments to the Federal prospective payment.
42:2.0.1.2.13.15.61.15	SECTION 412.526	412.526 Payment provisions for a “subclause (II)” long-term care hospital.
42:2.0.1.2.13.15.61.16	SECTION 412.529	412.529 Special payment provision for short-stay outliers.
42:2.0.1.2.13.15.61.17	SECTION 412.531	412.531 Special payment provisions when an interruption of a stay occurs in a long-term care hospital.
42:2.0.1.2.13.15.61.18	SECTION 412.533	412.533 Transition payments.
42:2.0.1.2.13.15.61.19	SECTION 412.534	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.
42:2.0.1.2.13.15.61.20	SECTION 412.535	412.535 Publication of the Federal prospective payment rates.
42:2.0.1.2.13.15.61.21	SECTION 412.536	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.
42:2.0.1.2.13.15.61.22	SECTION 412.538	412.538 [Reserved]
42:2.0.1.2.13.15.61.23	SECTION 412.540	412.540 Method of payment for preadmission services under the long-term care hospital prospective payment system.
42:2.0.1.2.13.15.61.24	SECTION 412.541	412.541 Method of payment under the long-term care hospital prospective payment system.
42:2.0.1.2.13.15.61.25	SECTION 412.560	412.560 Requirements under the Long-Term Care Hospital Quality Reporting Program (LTCH QRP).

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