US · guidance
CMS Pub. 100-04, ch. 3, § 150.17.1.3
Example 3: Coinsurance Days Greater Than or Equal to
Short Stay Outlier Threshold (20 day stay)
(Rev. 1, 10-01-03)
Date of service: 1/1/03 - 1/21/03
Medically necessary days: 20
Covered charges: $45,000
Benefits available: 15 coinsurance and 0 LTR
Covered days: 15
Noncovered days: 5
Coinsurance days used: 15
LTR days used: 0
Cost report days: 20
OSC 70: 1/16/03 - 1/20/03
Reimbursement: Full DRG payment
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
948f25489648688e59727f0d1e1ba9a5e8de3200e8aa9bf50f3d1caf37059e57
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.