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AHA Coding Clinic® for ICD-9 - 2003 Fourth Quarter

Coding and Reporting for Long Term Care Hospitals

The Medicare program defines Long Term Care Hospitals (LTCHs) as hospitals that have a provider agreement with Medicare and have an average Medicare inpatient length of stay of greater than 25 days. For more specific information, these hospitals are described in section 1886(d)(1)(B)(iv)(I) of the Social Security Act. Medicare covers LTCHs under the Long Term Care Hospital Prospective Payment System (LTCH PPS) rules with cost reporting periods beginning on or after October 1, 2002. LTCHs typically furnish extended medical and rehabilitative care for patients who are clinically complex and have multiple acute or chronic conditions. Generally, patients in LTCHs...

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