Since 2016, CMS has required patients to meet specific qualifications for the standard federal LTACH payment rate. However, if the patient does not meet the criteria, then the LTACH is reimbursed at a "site-neutral rate," which is the lesser of either the IPPS comparable per diem amount or the estimated costs of the case.
There are different strategies that LTACHs should consider to successfully navigate the transition to site-neutral payments. The ultimate goal is to ensure that patients receive appropriate care, financial margins are protected, and the organization is positioned well for long-term growth.
This research report provides three key strategies to navigate LTACH payment changes, as well as eight tactics to help you develop and execute the right response for your organization.
Next, Check Out
Understanding CMS's Proposed Changes to CJR and Cancellation of EPMs