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Rural Health
Resources by Topic: Swing bed services

The Financial Importance of Medicare Post-Acute and Hospice Care to Rural Hospitals
Findings brief describing variation in the number of hospitals in rural areas providing Medicare post-acute care (PAC) and hospice care, average amount of revenue generated for these services, and financial importance to rural hospitals. Includes statistics on 2015 Medicare PAC and hospice care revenue as percentage of patient revenue in 1,205 Critical Access Hospitals and 964 Prospective Payment System hospitals.
Author(s): Alex Schulte, H. Ann Howard, George H. Pink
Date: 07/2017
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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MLN Suite of Products & Resources for Rural Health Providers
Provides links to rural-specific sites and Medicare Learning Network (MLN) resources that can help you understand Medicare program requirements and processes. Includes learning resources for topics such as Critical Access Hospitals (CAHs), Rural Health Clinics (RHCs), swing bed services, Federally Qualified Health Centers (FQHCs), and more.
Date: 01/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Impact of Swing Beds
Policy brief providing an overview of the current value of swing beds as a critical healthcare service providing quality of care, helping to reduce readmission rates, and creating additional revenue for small rural hospitals at risk of experiencing financial challenges.
Author(s): Jim Parrish, Ann Turner, Margaret Woeppel
Date: 02/2016
Type: Document
Sponsoring organization: National Rural Health Association
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Revisions to State Operations Manual (SOM) Appendices A, G, L and T Related to Hospitals, Rural Health Clinics, Ambulatory Surgical Centers and Swing Beds
Revises the Centers for Medicare & Medicaid Services' State Operations Manual (SOM) to reflect regulation changes affecting Hospitals, Rural Health Clinics, Ambulatory Surgical Centers and Swing Beds in hospitals.
Date: 04/2015
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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A Critique of the Office of the Inspector General’s Report on Swing Beds in Critical Access Hospitals
Policy brief evaluating a March 2015 report from the Office of the Inspector General (OIG), U.S. Department of Health and Human Services, commenting on Medicare reimbursement policy for swing bed services in Critical Access Hospitals (CAHs). Evaluates the methods and data of the OIG report.
Author(s): Kristin Reiter, Mark Holmes
Date: 03/2015
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Medicare Could Have Saved Billions at Critical Access Hospitals If Swing-Bed Services Were Reimbursed Using the Skilled Nursing Facility Prospective Payment System Rates
Reports the Inspector General’s findings from a study of swing bed services and reimbursement at Critical Access Hospitals (CAHs). Concludes that swing bed usage has significantly increased in recent years and that there would be significant savings to the Medicare program if swing bed services were reimbursed at skilled nursing facility (SNF) prospective payment system (PPS) rates.
Date: 03/2015
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Medicare Billing Information for Rural Providers and Suppliers
Provides Medicare billing charts and information on where to submit claims for Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), Skilled Nursing Facilities, Home Health Agencies, Critical Access Hospitals, and Swing Bed services.
Date: 08/2014
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Discharge to Swing Bed or Skilled Nursing Facility: Who Goes Where?
Examines health conditions of patients discharged from rural Prospective Payment System (PPS) hospitals and Critical Access Hospitals (CAHs) to swing beds and skilled nursing facilities (SNFs).
Author(s): Victoria A. Freeman, Randy K. Randolph, Mark Holmes
Date: 02/2014
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Why Use Swing Beds? Conversations with Hospital Administrators and Staff (Findings Brief)
Includes interviews of hospital administrators and staff about the use of swing beds including the role of swing beds in patient care, swing bed volume and financial considerations, swing beds in the context of all community post-acute skilled care and swing beds as a benefit for community residents.
Author(s): Victoria A. Freeman, Andrea Radford
Date: 04/2012
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Effect of Swing Bed Use on Medicare Average Daily Cost and Reimbursement in Critical Access Hospitals
Estimates the average net cost to Medicare of a skilled nursing facility swing day by simulating the elimination of all Medicare skilled nursing facility swing bed days in Critical Access Hospitals in 2009.
Author(s): Kristin L. Reiter, George M. Holmes, George H. Pink, Victoria A. Freeman
Date: 12/2011
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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