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When a patient doesn’t meet specific criteria, we pay LTCH discharges at a site neutral payment rate, which is generally the lower of these: IPPS comparable per diem amount (calculated under the short-stay outlier (SSO) policy, including the applicable high-cost outlier (HCO) payment) Estimated case costs calculated by multiplying allowable charges by the LTCH’s cost-to-charge ratio (CCR) We exclude discharges from the site neutral payment rate and pay based on the standard federal payment rate if the provider directly admits the patient from the IPPS hospital and the patient had: At least 3 days in an intensive care or coronary care unit at the IPPS hospital but no psychiatric or rehabilitation MS-LTC-DRG care at the LTCH At least 96 hours of respiratory ventilation services at the LTCH but no psychiatric or rehabilitation MS-LTC-DRG care at the LTCH SSO, HCO, fixed-loss amount, and interrupted stay payment policy adjustments all apply to site neutral and standard federal payment rate discharges except where noted Available Options:10 mL vitamina b12 AOD-9604 GA Solution 10 mL | RUO Research Reagent https://steadymedicalbilling.com/wp-content/uploads/2025/09/CPT-96372-Injection-Billing-Guide-for-Providers-1024x512.webp
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