Long-term-care hospitals (LTCHs) provide hospital-level care for
medically complex, long-stay patients. LTCHs meet the same
requirements as general acute-care hospitals, but have
significantly longer average lengths of stay of 25 days or
greater. LTCHs may be freestanding facilities or be co-located
within hospitals, and treat a wide variety of conditions,
including respiratory failure with ventilator dependency,
infections, complex wounds and trauma.
CHA provides state and federal representation and advocacy in the
legislative and regulatory arenas to improve access to quality,
cost-effective long-term health care services.
The proposed rule for the Medicare inpatient prospective payment system (IPPS) and long-term care hospital (LTCH) PPS for federal fiscal year (FFY) 2014, issued April 26 by the Centers for Medicare & Medicaid Services (CMS), contains several provisions affecting payment and policy for LTCHs. For a CHA overview of policy proposals related to LTCH payment, the “25 percent rule,” quality reporting, and patient and facility criteria research, select “Read more” below. In the coming weeks, CHA will issue a more detailed summary, including facility-specific DataSuite reports, and will collaborate with members to develop comments in response to the proposed rule (a first-glance summary related to the IPPS proposals was released in yesterday’s CHA News). The complete proposed rule is available at www.calhospital.org/regulatory-advisory/cms-releases-proposed-rule-ffy-2014-ipps-and-ltch-pps and will be published in the May 10 Federal Register. Comments are due June 25 at 2 p.m. (PT).
The U.S. Department of Health and Human Services Office of
Inspector General (OIG) notified the Centers for Medicare &
Medicaid Services last week that many long-term care
hospitals (LTCHs) have not, as required by federal regulations,
notified their claims processing contractors that they are
co-located with another hospital-level provider or
skilled-nursing facility. According to the OIG’s early alert
memorandum report, the lack of information on co-located status
can prevent the application of two payment polices that lower
Medicare payments, including the “25-percent rule” governing
admission referral sources and payment policy for interrupted
stays. The OIG’s preliminary analysis revealed that nearly
half of the 211 LTCHs identified as having co-located status had
not reported this information to their claims processing
contractors. A copy of the OIG’s report is attached.
Recordings of recent conference calls held by the Centers for
Medicare & Medicaid Services on the quality reporting
programs for inpatient rehabilitation facilities (IRFs) and
long-term-care hospitals (LTCHs) will be available July 30
through Aug. 1. Facilities may access the calls by dialing (855)
859-2056, and using conference IDs 13189170 for IRFs and 13198135
for LTCHs. As mandated by the Affordable Care Act, IRF and LTCH
quality reporting programs will begin Oct. 1.