The inpatient prospective payment system (IPPS) 72-hour rule requires that outpatient preadmission services provided by a hospital up to three days prior to a patient's inpatient admission be covered by the DRG payment for
A) diagnostic services.
B) diagnostic and pharmacy services.
C) diagnostic and therapeutic services with the same principal diagnosis code.
D) therapeutic services.

Question

Quizplus · Accepted Answer

The IPPS 72-hour rule specifies that outpatient preadmission services, including both diagnostic and therapeutic services, provided by the hospital up to three days prior to a patient's inpatient admission are covered by the Diagnosis-Related Group (DRG) payment if they are related to the admission and share the same principal diagnosis code.

The Inpatient Prospective Payment System (IPPS) 72-Hour Rule Requires That