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Medicare program; payment for preadmission services--HCFA. Final rule
Insights
This final rule clarifies that inpatient hospital costs include preadmission services within 3 days before admission. These updates align with the Omnibus Budget Reconciliation Act of 1990 amendments.
Area of Science:
- Healthcare Policy
- Hospital Administration
- Medical Economics
Background:
- An interim final rule in January 1994 addressed preadmission services for inpatient hospital costs.
- Public comments were received on the initial rule regarding these services.
Purpose of the Study:
- To finalize regulations concerning the inclusion of preadmission services in inpatient hospital operating costs.
- To implement specific amendments mandated by the Omnibus Budget Reconciliation Act of 1990.
Main Methods:
- Responding to public comments on a previously issued interim final rule.
- Interpreting and applying amendments to section 1886(a)(4) of the Social Security Act.
Main Results:
- Final rule confirms that inpatient hospital operating costs encompass preadmission services.
- These services are defined as those provided up to 3 days before a patient's hospital admission.
- Services can be furnished by the hospital or a wholly owned/operated entity.
Conclusions:
- The final rule provides clarity on the scope of inpatient hospital operating costs.
- Regulatory provisions are now aligned with legislative changes from the Omnibus Budget Reconciliation Act of 1990.
Abstract:
This final rule responds to public comments on the January 12, 1994, interim final rule with comment period that provided that inpatient hospital operating costs include certain preadmission services furnished by the hospital (or by an entity that is wholly owned or operated by the hospital) to the patient up to 3 days before the date of the patient's admission to that hospital. These provisions implement amendments made to section 1886(a)(4) of the Social Security Act by section 4003 of the Omnibus Budget Reconciliation Act of 1990.