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AHA: Revise LTCH rule

June 25, 2012


The AHA last Thursday urged the Centers for Medicare & Medicaid Services to revise its proposed rule for the longterm care hospital (LTCH) prospective payment system for fiscal year 2013.

While expressing its appreciation for a delay in full implementation of the '25% Rule' and a three-year phasein of the so-called 'one-time' budget neutrality adjustment, the AHA said it is “deeply disappointed” the proposed 25% Rule delay would not begin for one-third of LTCHs until July 2013, one year after the 25% Rule takes effect for these facilities.

Among other concerns, the AHA said the methodology used to calculate overpayments for the budget neutrality adjustment “has yielded an erroneous over correction” and should be modified to account for other payment policy changes implemented since 2003.

For more on the AHA’s June 21 letter, go to “Advocacy Issues” at www.aha.org and click on “Letters” under “Tools & Resources.”


By Dominic F. Perella