US · guidance
CMS Pub. 100-04, ch. 3, § 150.23
LTCH Pricer Software
The CMS developed a LTCH Pricer program that calculates the Medicare payment rate.
Pricer software is electronically supplied to the Shared systems. Pricer pays a short-stay
outlier if the stay is between 1 day and up to and including 5/6 of the average length of
stay for the LTC-DRG.
• Pricer incorporates the five-year phase-in period for those providers that
choose to be paid on the blended rate.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
4bb13a931c851eee680501f7fbeb9301d868778278a0bb029b53bc729edd78d6
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