医疗保健财务管理局——医疗保险计划；医院重症监护类型病房的定义与报销。最终规则。

Health Care Financing Administration--Medicare program; definition and reimbursement of hospital intensive care type units. Final rule.

出版信息

Fed Regist. 1980 Aug 18;45(161):54757-60.

Abstract

This amendment to the Medicare regulations clarifies the requirements for the reimbursement of hospital "special care units" and substitutes the term "intensive care type unit" for that term wherever it appears in regulations. The current regulation has been misinterpreted by some hospitals as applying to units that furnish a level of care that is less than that furnished in the traditional intensive care unit. The revised regulation makes clear that only those units furnishing a level of care equivalent to that furnished in intensive care units qualify for the separate reimbursement specified in 42 CFR 405.452(d)(8).

摘要

对医疗保险法规的这项修订明确了医院“特殊护理单位”报销的要求，并在法规中凡出现该术语的地方，用“重症监护类型单位”一词予以替代。现行法规被一些医院误解为适用于提供护理水平低于传统重症监护病房的单位。修订后的法规明确规定，只有那些提供与重症监护病房相当护理水平的单位才有资格获得《联邦法规汇编》第42编第405.452(d)(8)节规定的单独报销。

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