Interrupted Stay definition
Interrupted Stay means a case in which a patient is discharged and then admitted directly to an inpatient acute care hospital, an Inpatient Rehabilitation Facility (IRF), a Skilled Nursing Facility (SNF) or a swing-bed and then returns to the same Facility within a fixed period of time. Currently, Medicare has determined the fixed period of time for each provider type is as follows:
Interrupted Stay means a case in which a patient is discharged and then admitted directly to an inpatient acute care hospital, an Inpatient Rehabilitation Facility (IRF), a Skilled Nursing Facility (SNF) or a swing-bed and then returns to the same Facility within a fixed period of time. Currently, Medicare has determined the fixed period of time for each provider type is as follows:
a. Acute care hospital – 9 days or less.
b. Inpatient Rehabilitation Facility (IRF) – 27 days or less.
c. Skilled Nursing Facility (SNF) – 45 days or less.
d. Swing-bed hospital – 45 days or less.
e. Discharge to a patient’s home and readmission to a Facility within three days, subject to update in accordance with CMS guidelines. An Interrupted Stay is treated as one discharge for the purpose of payment and only one MS LTC-DRG payment is made.
Interrupted Stay means a situation where the patient is discharged from the Facility and is subsequently readmitted to Facility on or before midnight on the third (3rd) calendar day. The parties acknowledge and agree that the foregoing definition of an “Interrupted Stay” is based on the Medicare definition of an “interrupted stay” set forth in 42 C.F.R. §412.602. In the event the Medicare definition of an “interrupted stay” is hereinafter amended or modified, the definition of an “Interrupted Stay” herein shall be adjusted accordingly. [If Facility is a psychiatric hospital]
Examples of Interrupted Stay in a sentence
Facility shall be responsible for any Transportation Service furnished to a patient of Facility: (i) during an inpatient stay at such facility, as determined in accordance with Medicare rules and regulations and (ii) during an Interrupted Stay (as hereinafter defined).
If the patient is discharged from Facility and returns prior to midnight on the first day of such Interrupted Stay, Facility shall be responsible for payment of any Transportation Services.
If the patient is discharged from the Facility and returns prior to midnight on the first day of such Interrupted Stay, Facility shall be responsible for payment of any Transportation Services.
More Definitions of Interrupted Stay
Interrupted Stay means a situation where the patient is discharged from the Facility and is subsequently readmitted to Facility or any other inpatient psychiatric facility on or before midnight on the third (3rd) calendar day. The parties acknowledge and agree that the foregoing definition of an “Interrupted Stay” is based on the Medicare definition of an “interrupted stay” set forth in 42 C.F.R. §412.402. In the event the Medicare definition of an “interrupted stay” is hereinafter amended or modified, the definition of an “Interrupted Stay” herein shall be adjusted accordingly.
Interrupted Stay means a situation where the patient is discharged from the Facility to an acute care hospital, inpatient rehabilitation facility, skilled nursing home or the patient’s residence, and is subsequently readmitted to Facility on or before midnight on the third (3rd) calendar day. The parties acknowledge and agree that the foregoing definition of an “Interrupted Stay” is based on the Medicare definition of a “3-day or less interruption of stay” set forth in 42 C.F.R. §412.531(a)(1). In the event the Medicare definition of a “3-day or less interruption of stay” is hereinafter amended or modified, the definition of an “Interrupted Stay” herein shall be adjusted accordingly. [If Facility is a rehabilitation hospital]