42 C.F.R. § 412.622 Basis of payment.
Title 42 - Public Health
(a) Method of payment. (1) Under the prospective payment system, inpatient rehabilitation facilities receive a predetermined amount per discharge for inpatient services furnished to Medicare Part A fee-for-service beneficiaries. (2) The amount of payment under the prospective payment system is based on the Federal payment rate, including adjustments described in §412.624 and, if applicable, during a transition period, on a blend of the Federal payment rate and the facility-specific payment rate described in §412.626. (b) Payment in full. (1) The payment made under this subpart represents payment in full (subject to applicable deductibles and coinsurance as described in subpart G of part 409 of this subchapter) for inpatient operating and capital-related costs associated with furnishing Medicare covered services in an inpatient rehabilitation facility, but not for the cost of an approved medical education program described in §§413.75 and 413.85 of this chapter. (2) In addition to payments based on prospective payment rates, inpatient rehabilitation facilities receive payments for the following: (i) Bad debts of Medicare beneficiaries, as provided in §413.80 of this chapter; and (ii) A payment amount per unit for blood clotting factor provided to Medicare inpatients who have hemophilia. [66 FR 41388, Aug. 7, 2001, as amended at 70 FR 47952, Aug. 15, 2005]
Title 42: Public Health
PART 412—PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES
Subpart P—Prospective Payment for Inpatient Rehabilitation Hospitals and Rehabilitation Units
§ 412.622 Basis of payment.
