Under the Inpatient Prospective Payment System (IPPS), There Is a Three-Day

question 630

Multiple Choice

Under the inpatient prospective payment system (IPPS) , there is a three-day payment window (formerly referred to as the 72-hour rule) . This rule requires that outpatient preadmission services that are provided by a hospital up to three calendar days prior to a patient's inpatient admission be covered by the IPPS MS-DRG payment for

• A) diagnostic services.
• B) therapeutic (or non-diagnostic) services whereby the inpatient principal diagnosis code (ICD-9-CM) exactly matches the code used for pre-admission services.
• C) therapeutic (or non-diagnostic) services whereby the inpatient principal diagnosis code (ICD-9-CM) does not match the code used for pre-admission services.
• D) both A and B.

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Definitions:

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