US · guidance
CMS Pub. 100-04, ch. 3, § 150.14
Stays Prior to and Discharge After PPS Implementation Date
If the patient's stay begins prior to and ends on or after the provider's first fiscal year begin
date under LTCH PPS, payment to the facility is based on LTCH PPS rates and rules.
There is no split billing. If the facility submitted an interim bill, a debit/credit adjustment
must be made prior to PPS payment. If the facility submits multiple interim bills, the
provider needs to submit cancels for all bills and then rebill once the cancels are accepted.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
45a39efbdf11eefdeda722a0f7169be1511d21df80e72cb8b076a8b7e69c7c9a
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