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 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]

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.

• Section 304 allows FHWA to withhold from disclosure to the public, information about the location, character, or ownership of a historic property if ARDOT determines that disclosure may: 1) cause a significant invasion of privacy; 2) risk harm to the historic resource; or 3) impede the use of a traditional religious site by practitioners.

• Information on the requirements implementing the application of the site neutral payment rate can be found in CR 9015.Existing LTCH PPS policies, such as the short-stay outlier (SSO) policy (for discharges paid the LTCH PPS standard Federal rate) and the Interrupted Stay policy, will continue to apply in determining the applicable payment amount (i.e., site neutral payment rate or standard Federal payment rate) under the LTCH PPS.

• SUBJECT: Implementation of the Interrupted Stay Policy under the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) EFFECTIVE DATE: January 1, 2011 IMPLEMENTATION DATE: January 3, 2011 I.

• Pub 100-04, Chapter 6, §30.5: This section is updated to reflect the SNF PPS’s changeover, as of October 1, 2019, from its previous Resource Utilization Group (RUG) case-mix model to the PDPM.Pub 100-04, Chapter 6, §40.9: This section is revised by adding cross-references to the Interrupted Stay instructions that appear in Section 120.

• The Interrupted Stay Policy sets out criteria for determining when Medicare will treat multiple SNF stays occurring in a single Part A benefit period as a single “interrupted” stay, rather than separate stays, for the purposes of the assessment schedule and the variable per diem payment schedule.

• If the patient leaves the Part A stay and remains in the facility but is no longer receiving skilled care and ends up back in a Med A covered stay within the 3 midnights this meets qualifications for an Interrupted Stay.

• Interrupted Stay Calculation and 3-Year Clock We welcome the proposed common-sense simplification of the interrupted stay calculation and resetting of the 3-year clock with remaining outside the U.S. for 60 days.

• When the stay is considered “interrupted” under the Interrupted Stay Policy, both the assessment schedule and the variable per diem payment schedule continue from the point just prior to discharge.

More Definitions of Interrupted Stay

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]

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.