Louisiana Administrative Code
Title 40 - LABOR AND EMPLOYMENT
Part I - Workers' Compensation Administration
Subpart 2 - Medical Guidelines
Chapter 25 - Hospital Reimbursement Schedule, Billing Instruction and Maintenance Procedures
Section I-2513 - Skilled Nursing and Intermediate Facility Reimbursement
Universal Citation: LA Admin Code I-2513
Current through Register Vol. 50, No. 9, September 20, 2024
A. Reimbursement for skilled nursing facility or intermediate care (swing bed) facility services will be limited to the lesser of covered billed charges or the per diem amount.
1. The uniform statewide per diem rates will
be applied to inpatient days by type of facility, either hospital-based or
freestanding.
2. The reimbursement
amount will be reduced by charges for noncovered items and services.
|
Per Diem Rate Schedules |
||
|
Skilled Nursing Facility |
||
|
Hospital Based |
$294 |
|
|
Freestanding |
$ 69 |
|
|
Intermediate Care Facility |
||
|
Hospital Based |
$224 |
|
|
Freestanding |
$ 63 |
|
3.
Using the above per diems, the formula for calculating payment amount is the
same as that for inpatient hospital services found in
§2505.
B.1
AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1034.2.
Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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