Department of Health and Human Services, Centers for Medicare and Medicaid Services: Medicare Program; Prospective Payment System for Long-Term Care Hospitals: Annual Payment Rate Updates and Policy Changes
GAO-04-762R: May 24, 2004
- Full Report:
GAO reviewed the Centers for Medicare and Medicaid Services' (CMS) new rule on the Medicare Program's annual payment rate updates and policy changes for its prospective payment system (PPS) for long-term care hospitals (LTCHs). GAO found that (1) the rule would update the annual payment rates for the Medicare PPS for inpatient hospital services provided by LTCHs (the payment amounts and factors used to determine the updated federal rates that are described in this final rule have been determined based on the LTCH PPS rate year); (2) in addition, the final rule clarifies the existing policy regarding the designation of a satellite of a LTCH as an independent LTCH and expands the existing interrupted stay policy and changes the procedure for counting days in the average length of stay calculation for Medicare patients for hospitals qualifying as LTCHs; and (3) CMS complied with applicable requirements in promulgating the rule, with the exception of the 60-day delay in the effective date.